T85.49
T85.49: Other mechanical complication of breast prosthesis and implant
Non-billable headerICD-10-CM
T85.49 is a non-billable header ICD-10-CM code for other mechanical complication of breast prosthesis and implant. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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 breast prosthesis and implant
- Perforation of breast prosthesis and implant
- Protrusion of breast prosthesis and implant
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Prolapse, prolapsed›breast implant(prosthetic)
- Protrusion, protrusio›device, implant or graft›breast(implant)
- Complication›breast implant›mechanical›obstruction
- Complication›breast implant›mechanical›perforation
- Complication›breast implant›mechanical›protrusion
- Complication›breast implant›mechanical›specified NEC
- Perforation, perforated›by›device, implant or graft›breast(implant)
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead T85.49
3 child codes. Green means billable.