T85.850S

T85.850S: Stenosis due to nervous system prosthetic devices, implants and grafts, sequela

Billable / specific codeICD-10-CMPOA exempt

T85.850S is a billable, specific ICD-10-CM code for stenosis due to nervous system prosthetic devices, implants and grafts, sequela. It is valid for submission on a claim.

Check T85.850S with the rest of the claim: free scrubber

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

Excludes2 inherited from the categories above T85.850S

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

T85.850S is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Code history

Unchanged in every release from FY2024 to FY2027.