T85.8
T85.8 — Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classified
Non-billable headerICD-10-CM
T85.8 is a non-billable header ICD-10-CM code for other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category T85
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T85.8 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.
Code to one of these instead T85.8
7 child codes. Green means billable.
- T85.81Embolism due to internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.82Fibrosis due to internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.83Hemorrhage due to internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.84Pain due to internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.85Stenosis due to internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.86Thrombosis due to internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.89Other specified complication of internal prosthetic devices, implants and grafts, not elsewhere classified
Related codes at this level
Codes that share T85. If T85.8 is not quite right, the correct code is usually one of these.
- T85.0Mechanical complication of ventricular intracranial (communicating) shunt
- T85.1Mechanical complication of implanted electronic stimulator of nervous system
- T85.2Mechanical complication of intraocular lens
- T85.3Mechanical complication of other ocular prosthetic devices, implants and grafts
- T85.4Mechanical complication of breast prosthesis and implant
- T85.5Mechanical complication of gastrointestinal prosthetic devices, implants and grafts
- T85.6Mechanical complication of other specified internal and external prosthetic devices, implants and grafts
- T85.7Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts
- T85.9Unspecified complication of internal prosthetic device, implant and graft
Questions about T85.8
- Is T85.8 a billable ICD-10-CM code?
- No. T85.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T85.8 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).