T85.6 — Mechanical complication of other specified internal and external prosthetic devices, implants and grafts
T85.6 is a non-billable header ICD-10-CM code for mechanical complication of other specified internal and external prosthetic devices, implants and grafts. 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
Other codes that can never be billed with T85.6
These codes carry an Excludes1 note pointing at T85.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T85.6 alone.
Risk adjustment
T85.6 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.
Code to one of these instead T85.6
4 child codes. Green means billable.
- T85.61Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts
- T85.62Displacement of other specified internal prosthetic devices, implants and grafts
- T85.63Leakage of other specified internal prosthetic devices, implants and grafts
- T85.69Other mechanical complication of other specified internal prosthetic devices, implants and grafts
Related codes at this level
Codes that share T85. If T85.6 is not quite right, the correct code is usually one of these.
- T85.0Mechanical complication of ventricular intracranial (communicating) shunt
- T85.1Mechanical complication of implanted electronic stimulator of nervous system
- T85.2Mechanical complication of intraocular lens
- T85.3Mechanical complication of other ocular prosthetic devices, implants and grafts
- T85.4Mechanical complication of breast prosthesis and implant
- T85.5Mechanical complication of gastrointestinal prosthetic devices, implants and grafts
- T85.7Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts
- T85.8Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.9Unspecified complication of internal prosthetic device, implant and graft
Questions about T85.6
- Is T85.6 a billable ICD-10-CM code?
- No. T85.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T85.6 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).