T85.79XA

T85.79XA: Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter

Billable / specific codeICD-10-CM

T85.79XA is a billable, specific ICD-10-CM code for infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter. It is valid for submission on a claim.

Check T85.79XA 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 T85.79XA

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

T85.79XA is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

Code history

Unchanged in every release from FY2024 to FY2027.