T85.69
T85.69: Other mechanical complication of other specified internal prosthetic devices, implants and grafts
Non-billable headerICD-10-CM
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
Their own Excludes1 notes name this code, so the conflict is not listed above.
- T81.3Disruption of wound, not elsewhere classified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
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