T85.630A

T85.630A: Leakage of cranial or spinal infusion catheter, initial encounter

Billable / specific codeICD-10-CM

T85.630A is a billable, specific ICD-10-CM code for leakage of cranial or spinal infusion catheter, initial encounter. It is valid for submission on a claim.

Check T85.630A with the rest of the claim: free scrubber

7th character "A": initial encounter

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.

Leakage of epidural infusion catheter
Leakage of intrathecal infusion catheter infusion catheter
Leakage of subdural infusion catheter
Leakage of subarachnoid infusion catheter

Excludes2 inherited from the categories above T85.630A

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

T85.630A is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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.