T85.610S

T85.610S: Breakdown (mechanical) of cranial or spinal infusion catheter, sequela

Billable / specific codeICD-10-CMPOA exempt

T85.610S is a billable, specific ICD-10-CM code for breakdown (mechanical) of cranial or spinal infusion catheter, sequela. It is valid for submission on a claim.

Check T85.610S with the rest of the claim: free scrubber

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.

Breakdown (mechanical) of epidural infusion catheter
Breakdown (mechanical) of intrathecal infusion catheter
Breakdown (mechanical) of subarachnoid infusion catheter
Breakdown (mechanical) of subdural infusion catheter

Excludes2 inherited from the categories above T85.610S

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

T85.610S is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A57204Billing and Coding: MRI and CT Scans of the Head and Neck
A57206Billing and Coding: Lumbar MRI

Code history

Unchanged in every release from FY2024 to FY2027.