T85.84
T85.84 — Pain due to internal prosthetic devices, implants and grafts, not elsewhere classified
Non-billable headerICD-10-CM
T85.84 is a non-billable header ICD-10-CM code for pain due to 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
T85.84 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 T85.84
2 child codes. Green means billable.
Related codes at this level
Codes that share T85.8. If T85.84 is not quite right, the correct code is usually one of these.
- 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
- T85.85Stenosis 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
Questions about T85.84
- Is T85.84 a billable ICD-10-CM code?
- No. T85.84 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T85.84 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).