T85.69 — Other mechanical complication of other specified internal prosthetic devices, implants and grafts
T85.69 is a non-billable header ICD-10-CM code for other mechanical complication of other specified internal 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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Obstruction, mechanical of other specified internal prosthetic devices, implants and grafts
- Perforation of other specified internal prosthetic devices, implants and grafts
- Protrusion of other specified internal prosthetic devices, implants and grafts
Other codes that can never be billed with T85.69
These codes carry an Excludes1 note pointing at T85.69. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T85.69 alone.
- T81.3Disruption of wound, not elsewhere classified
Risk adjustment
T85.69 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 T85.69
7 child codes. Green means billable.
- T85.690Other mechanical complication of cranial or spinal infusion catheter
- T85.691Other mechanical complication of intraperitoneal dialysis catheter
- T85.692Other mechanical complication of permanent sutures
- T85.693Other mechanical complication of artificial skin graft and decellularized allodermis
- T85.694Other mechanical complication of insulin pump
- T85.695Other mechanical complication of other nervous system device, implant or graft
- T85.698Other mechanical complication of other specified internal prosthetic devices, implants and grafts
Related codes at this level
Codes that share T85.6. If T85.69 is not quite right, the correct code is usually one of these.
Questions about T85.69
- Is T85.69 a billable ICD-10-CM code?
- No. T85.69 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T85.69 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).