T85.734S — Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, sequela
T85.734S is a billable, specific ICD-10-CM code for infection and inflammatory reaction due to implanted electronic neurostimulator, generator, 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.
- Generator pocket infection
Risk adjustment
T85.734S 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
T85.734S is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A59332Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
Related codes at this level
Codes that share T85.734. If T85.734S is not quite right, the correct code is usually one of these.
Questions about T85.734S
- Is T85.734S a billable ICD-10-CM code?
- Yes. T85.734S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T85.734S 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).