T85.690S — Other mechanical complication of cranial or spinal infusion catheter, sequela
T85.690S is a billable, specific ICD-10-CM code for other mechanical complication of cranial or spinal infusion catheter, sequela. It is valid for submission on a claim.
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.
- Other mechanical complication of epidural infusion catheter
- Other mechanical complication of intrathecal infusion catheter
- Other mechanical complication of subarachnoid infusion catheter
- Other mechanical complication of subdural infusion catheter
Risk adjustment
T85.690S 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.
Medicare coverage
T85.690S is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share T85.690. If T85.690S is not quite right, the correct code is usually one of these.
Questions about T85.690S
- Is T85.690S a billable ICD-10-CM code?
- Yes. T85.690S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T85.690S 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).