Is T85.890 a billable ICD-10-CM code?

No. T85.890 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does T85.890 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).

T85.890

T85.890 — Other specified complication of nervous system prosthetic devices, implants and grafts

Non-billable headerICD-10-CM

T85.890 is a non-billable header ICD-10-CM code for other specified complication of nervous system prosthetic devices, implants and grafts. 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

T85.890 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.

How T85.890 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to T85.890.

Complication›ventricular›specified type NEC
Erosion›subcutaneous device pocket›nervous system prosthetic device, implant, or graft
Breakdown›device, graft or implant›subcutaneous device pocket›nervous system prosthetic device, implant, or graft
Complication›catheter NEC›epidural infusion›specified type NEC
Complication›catheter NEC›subdural infusion›specified type NEC
Complication›electronic stimulator device›brain›specified type NEC
Complication›electronic stimulator device›nervous system›specified type NEC
Complication›electronic stimulator device›peripheral nerve›specified type NEC
Complication›electronic stimulator device›spinal cord›specified type NEC

Code to one of these instead T85.890

3 child codes. Green means billable.

Related codes at this level

Codes that share T85.89. If T85.890 is not quite right, the correct code is usually one of these.

T85.898Other specified complication of other internal prosthetic devices, implants and grafts

Questions about T85.890

Is T85.890 a billable ICD-10-CM code?: No. T85.890 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does T85.890 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).