T85.72XA

T85.72XA: Infection and inflammatory reaction due to insulin pump, initial encounter

Billable / specific codeICD-10-CM

T85.72XA is a billable, specific ICD-10-CM code for infection and inflammatory reaction due to insulin pump, initial encounter. It is valid for submission on a claim.

Check T85.72XA 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

Excludes2 inherited from the categories above T85.72XA

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

T85.72XA is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57070Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
A57206Billing and Coding: Lumbar MRI
A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing

Code history

Unchanged in every release from FY2024 to FY2027.