T85.193D

T85.193D: Other mechanical complication of implanted electronic neurostimulator, generator, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

T85.193D is a billable, specific ICD-10-CM code for other mechanical complication of implanted electronic neurostimulator, generator, subsequent encounter. It is valid for submission on a claim.

Check T85.193D with the rest of the claim: free scrubber

7th character "D": subsequent encounter

The appropriate 7th character is to be added to each code from category T85

A: initial encounter
D: subsequent encounter
S: sequela

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Other mechanical complication of implanted electronic neurostimulator generator, brain, peripheral, gastric, spinal
Other mechanical complication of implanted electronic sacral neurostimulator, pulse generator or receiver

Excludes2 inherited from the categories above T85.193D

Not part of this code, but both may be coded when both are present.

Written on T85: Complications of other internal prosthetic devices, implants and grafts

failure and rejection of transplanted organs and tissue (T86.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

T85.193D is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53359Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence
A56747Billing and Coding: Magnetic Resonance Angiography (MRA)
A57791Billing and Coding: Spinal Cord Stimulators for Chronic Pain
A59332Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence

Code history

Unchanged in every release from FY2024 to FY2027.