T85.29XS — Other mechanical complication of intraocular lens, sequela
T85.29XS is a billable, specific ICD-10-CM code for other mechanical complication of intraocular lens, sequela. It is valid for submission on a claim.
7th character "S" — sequela
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.
- Obstruction (mechanical) of intraocular lens
- Perforation of intraocular lens
- Protrusion of intraocular lens
Risk adjustment
T85.29XS does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
T85.29XS is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56549Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
Related codes at this level
Codes that share T85.29. If T85.29XS is not quite right, the correct code is usually one of these.
Questions about T85.29XS
- Is T85.29XS a billable ICD-10-CM code?
- Yes. T85.29XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T85.29XS sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Complications of surgical and medical care, not elsewhere classified (T80-T88).