T85.79XD

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

Billable / specific codeICD-10-CMPOA exempt

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

Check T85.79XD with the rest of the claim: free scrubber

7th character "D": subsequent 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 T85.79XD

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

T85.79XD is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52849Billing and Coding: Breast Imaging: Breast Echography (Sonography)/Breast MRI/Ductography
A52868Billing and Coding: Transesophageal Echocardiography (TEE)
A53058Billing and Coding: Home Health Physical Therapy
A53065Billing and Coding: Outpatient Physical Therapy

Code history

Unchanged in every release from FY2024 to FY2027.