T85.318D

T85.318D: Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, subsequent encounter

Billable / specific codeICD-10-CMPOA exempt

T85.318D is a billable, specific ICD-10-CM code for breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, subsequent encounter. It is valid for submission on a claim.

Check T85.318D 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

Excludes2 inherited from the categories above T85.318D

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

Written on T85.3: Mechanical complication of other ocular prosthetic devices, implants and grafts

other complications of corneal graft (T86.84-)

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

T85.318D is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53058Billing and Coding: Home Health Physical Therapy
A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
A56548Billing and Coding: Corneal Pachymetry
A56611Billing and Coding: Corneal Pachymetry

Code history

Unchanged in every release from FY2024 to FY2027.