ICD-10 · PDGM grouping
T85 Complications of other internal prosthetic devices, implants and grafts
All 288 codes in the T85 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
288
Can lead a claim
283
Cannot lead a claim
5
What CMS assigns to T85
283 of the 288 codes group to MMTA - Other (170), Neuro Rehabilitation (110) and Wound (3); 5 are assigned no clinical group. None of the 288 is assigned a comorbidity subgroup. 283 of the 288 can lead a claim.
Every code in T85
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| T85.0 Mechanical complication of ventricular intracranial (communicating) shunt | ||||
| T85.01 Breakdown (mechanical) of ventricular intracranial (communicating) shunt | ||||
| T85.01XA | Breakdown (mechanical) of ventricular intracranial (communicating) shunt, initial encounterCMS: Breakdown of ventricular intracranial shunt, init | Can lead a claim | B | None |
| T85.01XD | Breakdown (mechanical) of ventricular intracranial (communicating) shunt, subsequent encounterCMS: Breakdown of ventricular intracranial shunt, subs | Can lead a claim | B | None |
| T85.01XS | Breakdown (mechanical) of ventricular intracranial (communicating) shunt, sequelaCMS: Breakdown of ventricular intracranial shunt, sequela | Can lead a claim | B | None |
| T85.02 Displacement of ventricular intracranial (communicating) shunt | ||||
| T85.02XA | Displacement of ventricular intracranial (communicating) shunt, initial encounterCMS: Displacement of ventricular intracranial shunt, init | Can lead a claim | B | None |
| T85.02XD | Displacement of ventricular intracranial (communicating) shunt, subsequent encounterCMS: Displacement of ventricular intracranial shunt, subs | Can lead a claim | B | None |
| T85.02XS | Displacement of ventricular intracranial (communicating) shunt, sequelaCMS: Displacement of ventricular intracranial shunt, sequela | Can lead a claim | B | None |
| T85.03 Leakage of ventricular intracranial (communicating) shunt | ||||
| T85.03XA | Leakage of ventricular intracranial (communicating) shunt, initial encounterCMS: Leakage of ventricular intracranial shunt, init | Can lead a claim | B | None |
| T85.03XD | Leakage of ventricular intracranial (communicating) shunt, subsequent encounterCMS: Leakage of ventricular intracranial shunt, subs | Can lead a claim | B | None |
| T85.03XS | Leakage of ventricular intracranial (communicating) shunt, sequelaCMS: Leakage of ventricular intracranial shunt, sequela | Can lead a claim | B | None |
| T85.09 Other mechanical complication of ventricular intracranial (communicating) shunt | ||||
| T85.09XA | Other mechanical complication of ventricular intracranial (communicating) shunt, initial encounterCMS: Mech compl of ventricular intracranial shunt, init | Can lead a claim | B | None |
| T85.09XD | Other mechanical complication of ventricular intracranial (communicating) shunt, subsequent encounterCMS: Mech compl of ventricular intracranial shunt, subs | Can lead a claim | B | None |
| T85.09XS | Other mechanical complication of ventricular intracranial (communicating) shunt, sequelaCMS: Mech compl of ventricular intracranial shunt, sequela | Can lead a claim | B | None |
| T85.1 Mechanical complication of implanted electronic stimulator of nervous system | ||||
| T85.11 Breakdown (mechanical) of implanted electronic stimulator of nervous system | ||||
| T85.110 Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead) | ||||
| T85.110A | Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), initial encounterCMS: Breakdown of implnt elec nstim of brain lead, init | Can lead a claim | B | None |
| T85.110D | Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), subsequent encounterCMS: Breakdown of implnt elec nstim of brain lead, subs | Can lead a claim | B | None |
| T85.110S | Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), sequelaCMS: Breakdown of implnt elec nstim of brain lead, sequela | Can lead a claim | B | None |
| T85.111 Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead) | ||||
| T85.111A | Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounterCMS: Breakdown of implnt elec nstim of prph nrv lead, init | Can lead a claim | B | None |
| T85.111D | Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounterCMS: Breakdown of implnt elec nstim of prph nrv lead, subs | Can lead a claim | B | None |
| T85.111S | Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequelaCMS: Breakdown of implnt elec nstim of prph nrv lead, sequela | Can lead a claim | B | None |
| T85.112 Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead) | ||||
| T85.112A | Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounterCMS: Breakdown of implnt elec nstim of spinal cord lead, init | Can lead a claim | B | None |
| T85.112D | Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounterCMS: Breakdown of implnt elec nstim of spinal cord lead, subs | Can lead a claim | B | None |
| T85.112S | Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), sequelaCMS: Breakdown of implnt elec nstim of spinal cord lead, sequela | Can lead a claim | B | None |
| T85.113 Breakdown (mechanical) of implanted electronic neurostimulator, generator | ||||
| T85.113A | Breakdown (mechanical) of implanted electronic neurostimulator, generator, initial encounterCMS: Breakdown (mechanical) of implnt elec nstim, generator, init | Can lead a claim | B | None |
| T85.113D | Breakdown (mechanical) of implanted electronic neurostimulator, generator, subsequent encounterCMS: Breakdown (mechanical) of implnt elec nstim, generator, subs | Can lead a claim | B | None |
| T85.113S | Breakdown (mechanical) of implanted electronic neurostimulator, generator, sequelaCMS: Breakdown of implnt elec nstim, generator, sequela | Can lead a claim | B | None |
| T85.118 Breakdown (mechanical) of other implanted electronic stimulator of nervous system | ||||
| T85.118A | Breakdown (mechanical) of other implanted electronic stimulator of nervous system, initial encounterCMS: Brkdwn implanted electronic stimulator of nervous sys, init | Can lead a claim | B | None |
| T85.118D | Breakdown (mechanical) of other implanted electronic stimulator of nervous system, subsequent encounterCMS: Brkdwn implanted electronic stimulator of nervous sys, subs | Can lead a claim | B | None |
| T85.118S | Breakdown (mechanical) of other implanted electronic stimulator of nervous system, sequelaCMS: Brkdwn implanted electrnc stimulator of nervous sys, sequela | Can lead a claim | B | None |
| T85.12 Displacement of implanted electronic stimulator of nervous system | ||||
| T85.120 Displacement of implanted electronic neurostimulator of brain electrode (lead) | ||||
| T85.120A | Displacement of implanted electronic neurostimulator of brain electrode (lead), initial encounterCMS: Displacement of implnt elec nstim of brain lead, init | Can lead a claim | B | None |
| T85.120D | Displacement of implanted electronic neurostimulator of brain electrode (lead), subsequent encounterCMS: Displacement of implnt elec nstim of brain lead, subs | Can lead a claim | B | None |
| T85.120S | Displacement of implanted electronic neurostimulator of brain electrode (lead), sequelaCMS: Displacement of implnt elec nstim of brain lead, sequela | Can lead a claim | B | None |
| T85.121 Displacement of implanted electronic neurostimulator of peripheral nerve electrode (lead) | ||||
| T85.121A | Displacement of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounterCMS: Displacement of implnt elec nstim of prph nrv lead, init | Can lead a claim | B | None |
| T85.121D | Displacement of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounterCMS: Displacement of implnt elec nstim of prph nrv lead, subs | Can lead a claim | B | None |
| T85.121S | Displacement of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequelaCMS: Displacement of implnt elec nstim of prph nrv lead, sequela | Can lead a claim | B | None |
| T85.122 Displacement of implanted electronic neurostimulator of spinal cord electrode (lead) | ||||
| T85.122A | Displacement of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounterCMS: Displacement of implnt elec nstim of spinal cord lead, init | Can lead a claim | B | None |
| T85.122D | Displacement of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounterCMS: Displacement of implnt elec nstim of spinal cord lead, subs | Can lead a claim | B | None |
| T85.122S | Displacement of implanted electronic neurostimulator of spinal cord electrode (lead), sequelaCMS: Displacmnt of implnt elec nstim of spinal cord lead, sequela | Can lead a claim | B | None |
| T85.123 Displacement of implanted electronic neurostimulator, generator | ||||
| T85.123A | Displacement of implanted electronic neurostimulator, generator, initial encounterCMS: Displacement of implnt elec nstim, generator, init | Can lead a claim | B | None |
| T85.123D | Displacement of implanted electronic neurostimulator, generator, subsequent encounterCMS: Displacement of implnt elec nstim, generator, subs | Can lead a claim | B | None |
| T85.123S | Displacement of implanted electronic neurostimulator, generator, sequelaCMS: Displacement of implnt elec nstim, generator, sequela | Can lead a claim | B | None |
| T85.128 Displacement of other implanted electronic stimulator of nervous system | ||||
| T85.128A | Displacement of other implanted electronic stimulator of nervous system, initial encounterCMS: Displacmnt of implnt electrnc stimultr of nervous sys, init | Can lead a claim | B | None |
| T85.128D | Displacement of other implanted electronic stimulator of nervous system, subsequent encounterCMS: Displacmnt of implnt electrnc stimultr of nervous sys, subs | Can lead a claim | B | None |
| T85.128S | Displacement of other implanted electronic stimulator of nervous system, sequelaCMS: Displacmnt of implnt electrnc stimultr of nrv sys, sequela | Can lead a claim | B | None |
| T85.19 Other mechanical complication of implanted electronic stimulator of nervous system | ||||
| T85.190 Other mechanical complication of implanted electronic neurostimulator of brain electrode (lead) | ||||
| T85.190A | Other mechanical complication of implanted electronic neurostimulator of brain electrode (lead), initial encounterCMS: Mech compl of implnt elec nstim of brain lead, init | Can lead a claim | B | None |
| T85.190D | Other mechanical complication of implanted electronic neurostimulator of brain electrode (lead), subsequent encounterCMS: Mech compl of implnt elec nstim of brain lead, subs | Can lead a claim | B | None |
| T85.190S | Other mechanical complication of implanted electronic neurostimulator of brain electrode (lead), sequelaCMS: Mech compl of implnt elec nstim of brain lead, sequela | Can lead a claim | B | None |
| T85.191 Other mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead) | ||||
| T85.191A | Other mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounterCMS: Mech compl of implnt elec nstim of prph nrv lead, init | Can lead a claim | B | None |
| T85.191D | Other mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounterCMS: Mech compl of implnt elec nstim of prph nrv lead, subs | Can lead a claim | B | None |
| T85.191S | Other mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequelaCMS: Mech compl of implnt elec nstim of prph nrv lead, sequela | Can lead a claim | B | None |
| T85.192 Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead) | ||||
| T85.192A | Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounterCMS: Mech compl of implnt elec nstim of spinal cord lead, init | Can lead a claim | B | None |
| T85.192D | Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounterCMS: Mech compl of implnt elec nstim of spinal cord lead, subs | Can lead a claim | B | None |
| T85.192S | Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead), sequelaCMS: Mech compl of implnt elec nstim of spinal cord lead, sequela | Can lead a claim | B | None |
| T85.193 Other mechanical complication of implanted electronic neurostimulator, generator | ||||
| T85.193A | Other mechanical complication of implanted electronic neurostimulator, generator, initial encounterCMS: Mech compl of implnt elec nstim, generator, init | Can lead a claim | A | None |
| T85.193D | Other mechanical complication of implanted electronic neurostimulator, generator, subsequent encounterCMS: Mech compl of implnt elec nstim, generator, subs | Can lead a claim | A | None |
| T85.193S | Other mechanical complication of implanted electronic neurostimulator, generator, sequelaCMS: Mech compl of implnt elec nstim, generator, sequela | Can lead a claim | A | None |
| T85.199 Other mechanical complication of other implanted electronic stimulator of nervous system | ||||
| T85.199A | Other mechanical complication of other implanted electronic stimulator of nervous system, initial encounterCMS: Mech compl of implnt electrnc stimultr of nervous sys, init | Can lead a claim | B | None |
| T85.199D | Other mechanical complication of other implanted electronic stimulator of nervous system, subsequent encounterCMS: Mech compl of implnt electrnc stimultr of nervous sys, subs | Can lead a claim | B | None |
| T85.199S | Other mechanical complication of other implanted electronic stimulator of nervous system, sequelaCMS: Mech compl of implnt electrnc stimultr of nrv sys, sequela | Can lead a claim | B | None |
| T85.2 Mechanical complication of intraocular lens | ||||
| T85.21 Breakdown (mechanical) of intraocular lens | ||||
| T85.21XA | Breakdown (mechanical) of intraocular lens, initial encounterCMS: Breakdown (mechanical) of intraocular lens, init encntr | Can lead a claim | A | None |
| T85.21XD | Breakdown (mechanical) of intraocular lens, subsequent encounterCMS: Breakdown (mechanical) of intraocular lens, subs encntr | Can lead a claim | A | None |
| T85.21XS | Breakdown (mechanical) of intraocular lens, sequela | Can lead a claim | A | None |
| T85.22 Displacement of intraocular lens | ||||
| T85.22XA | Displacement of intraocular lens, initial encounter | Can lead a claim | A | None |
| T85.22XD | Displacement of intraocular lens, subsequent encounter | Can lead a claim | A | None |
| T85.22XS | Displacement of intraocular lens, sequela | Can lead a claim | A | None |
| T85.29 Other mechanical complication of intraocular lens | ||||
| T85.29XA | Other mechanical complication of intraocular lens, initial encounterCMS: Mech compl of intraocular lens, initial encounter | Can lead a claim | A | None |
| T85.29XD | Other mechanical complication of intraocular lens, subsequent encounterCMS: Mech compl of intraocular lens, subsequent encounter | Can lead a claim | A | None |
| T85.29XS | Other mechanical complication of intraocular lens, sequela | Can lead a claim | A | None |
| T85.3 Mechanical complication of other ocular prosthetic devices, implants and grafts | ||||
| T85.31 Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts | ||||
| T85.310 Breakdown (mechanical) of prosthetic orbit of right eye | ||||
| T85.310A | Breakdown (mechanical) of prosthetic orbit of right eye, initial encounterCMS: Breakdown of prosthetic orbit of right eye, init | Can lead a claim | A | None |
| T85.310D | Breakdown (mechanical) of prosthetic orbit of right eye, subsequent encounterCMS: Breakdown of prosthetic orbit of right eye, subs | Can lead a claim | A | None |
| T85.310S | Breakdown (mechanical) of prosthetic orbit of right eye, sequelaCMS: Breakdown of prosthetic orbit of right eye, sequela | Can lead a claim | A | None |
| T85.311 Breakdown (mechanical) of prosthetic orbit of left eye | ||||
| T85.311A | Breakdown (mechanical) of prosthetic orbit of left eye, initial encounterCMS: Breakdown (mechanical) of prosthetic orbit of left eye, init | Can lead a claim | A | None |
| T85.311D | Breakdown (mechanical) of prosthetic orbit of left eye, subsequent encounterCMS: Breakdown (mechanical) of prosthetic orbit of left eye, subs | Can lead a claim | A | None |
| T85.311S | Breakdown (mechanical) of prosthetic orbit of left eye, sequelaCMS: Breakdown of prosthetic orbit of left eye, sequela | Can lead a claim | A | None |
| T85.318 Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts | ||||
| T85.318A | Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, initial encounterCMS: Breakdown (mechanical) of ocular prosth dev/grft, init | Can lead a claim | A | None |
| T85.318D | Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, subsequent encounterCMS: Breakdown (mechanical) of ocular prosth dev/grft, subs | Can lead a claim | A | None |
| T85.318S | Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, sequelaCMS: Breakdown (mechanical) of ocular prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.32 Displacement of other ocular prosthetic devices, implants and grafts | ||||
| T85.320 Displacement of prosthetic orbit of right eye | ||||
| T85.320A | Displacement of prosthetic orbit of right eye, initial encounterCMS: Displacement of prosthetic orbit of right eye, init encntr | Can lead a claim | A | None |
| T85.320D | Displacement of prosthetic orbit of right eye, subsequent encounterCMS: Displacement of prosthetic orbit of right eye, subs encntr | Can lead a claim | A | None |
| T85.320S | Displacement of prosthetic orbit of right eye, sequela | Can lead a claim | A | None |
| T85.321 Displacement of prosthetic orbit of left eye | ||||
| T85.321A | Displacement of prosthetic orbit of left eye, initial encounterCMS: Displacement of prosthetic orbit of left eye, init encntr | Can lead a claim | A | None |
| T85.321D | Displacement of prosthetic orbit of left eye, subsequent encounterCMS: Displacement of prosthetic orbit of left eye, subs encntr | Can lead a claim | A | None |
| T85.321S | Displacement of prosthetic orbit of left eye, sequela | Can lead a claim | A | None |
| T85.328 Displacement of other ocular prosthetic devices, implants and grafts | ||||
| T85.328A | Displacement of other ocular prosthetic devices, implants and grafts, initial encounterCMS: Displacement of ocular prosth dev/grft, init | Can lead a claim | A | None |
| T85.328D | Displacement of other ocular prosthetic devices, implants and grafts, subsequent encounterCMS: Displacement of ocular prosth dev/grft, subs | Can lead a claim | A | None |
| T85.328S | Displacement of other ocular prosthetic devices, implants and grafts, sequelaCMS: Displacement of ocular prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.39 Other mechanical complication of other ocular prosthetic devices, implants and grafts | ||||
| T85.390 Other mechanical complication of prosthetic orbit of right eye | ||||
| T85.390A | Other mechanical complication of prosthetic orbit of right eye, initial encounterCMS: Mech compl of prosthetic orbit of right eye, init encntr | Can lead a claim | A | None |
| T85.390D | Other mechanical complication of prosthetic orbit of right eye, subsequent encounterCMS: Mech compl of prosthetic orbit of right eye, subs encntr | Can lead a claim | A | None |
| T85.390S | Other mechanical complication of prosthetic orbit of right eye, sequelaCMS: Mech compl of prosthetic orbit of right eye, sequela | Can lead a claim | A | None |
| T85.391 Other mechanical complication of prosthetic orbit of left eye | ||||
| T85.391A | Other mechanical complication of prosthetic orbit of left eye, initial encounterCMS: Mech compl of prosthetic orbit of left eye, init encntr | Can lead a claim | A | None |
| T85.391D | Other mechanical complication of prosthetic orbit of left eye, subsequent encounterCMS: Mech compl of prosthetic orbit of left eye, subs encntr | Can lead a claim | A | None |
| T85.391S | Other mechanical complication of prosthetic orbit of left eye, sequelaCMS: Mech compl of prosthetic orbit of left eye, sequela | Can lead a claim | A | None |
| T85.398 Other mechanical complication of other ocular prosthetic devices, implants and grafts | ||||
| T85.398A | Other mechanical complication of other ocular prosthetic devices, implants and grafts, initial encounterCMS: Mech compl of ocular prosth dev/grft, init | Can lead a claim | A | None |
| T85.398D | Other mechanical complication of other ocular prosthetic devices, implants and grafts, subsequent encounterCMS: Mech compl of ocular prosth dev/grft, subs | Can lead a claim | A | None |
| T85.398S | Other mechanical complication of other ocular prosthetic devices, implants and grafts, sequelaCMS: Mech compl of ocular prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.4 Mechanical complication of breast prosthesis and implant | ||||
| T85.41 Breakdown (mechanical) of breast prosthesis and implant | ||||
| T85.41XA | Breakdown (mechanical) of breast prosthesis and implant, initial encounterCMS: Breakdown of breast prosthesis and implant, init | Can lead a claim | A | None |
| T85.41XD | Breakdown (mechanical) of breast prosthesis and implant, subsequent encounterCMS: Breakdown of breast prosthesis and implant, subs | Can lead a claim | A | None |
| T85.41XS | Breakdown (mechanical) of breast prosthesis and implant, sequelaCMS: Breakdown of breast prosthesis and implant, sequela | Can lead a claim | A | None |
| T85.42 Displacement of breast prosthesis and implant | ||||
| T85.42XA | Displacement of breast prosthesis and implant, initial encounterCMS: Displacement of breast prosthesis and implant, init encntr | Can lead a claim | A | None |
| T85.42XD | Displacement of breast prosthesis and implant, subsequent encounterCMS: Displacement of breast prosthesis and implant, subs encntr | Can lead a claim | A | None |
| T85.42XS | Displacement of breast prosthesis and implant, sequela | Can lead a claim | A | None |
| T85.43 Leakage of breast prosthesis and implant | ||||
| T85.43XA | Leakage of breast prosthesis and implant, initial encounter | Can lead a claim | A | None |
| T85.43XD | Leakage of breast prosthesis and implant, subsequent encounterCMS: Leakage of breast prosthesis and implant, subs encntr | Can lead a claim | A | None |
| T85.43XS | Leakage of breast prosthesis and implant, sequela | Can lead a claim | A | None |
| T85.44 Capsular contracture of breast implant | ||||
| T85.44XA | Capsular contracture of breast implant, initial encounter | Can lead a claim | A | None |
| T85.44XD | Capsular contracture of breast implant, subsequent encounter | Can lead a claim | A | None |
| T85.44XS | Capsular contracture of breast implant, sequela | Can lead a claim | A | None |
| T85.49 Other mechanical complication of breast prosthesis and implant | ||||
| T85.49XA | Other mechanical complication of breast prosthesis and implant, initial encounterCMS: Mech compl of breast prosthesis and implant, init encntr | Can lead a claim | A | None |
| T85.49XD | Other mechanical complication of breast prosthesis and implant, subsequent encounterCMS: Mech compl of breast prosthesis and implant, subs encntr | Can lead a claim | A | None |
| T85.49XS | Other mechanical complication of breast prosthesis and implant, sequelaCMS: Mech compl of breast prosthesis and implant, sequela | Can lead a claim | A | None |
| T85.5 Mechanical complication of gastrointestinal prosthetic devices, implants and grafts | ||||
| T85.51 Breakdown (mechanical) of gastrointestinal prosthetic devices, implants and grafts | ||||
| T85.510 Breakdown (mechanical) of bile duct prosthesis | ||||
| T85.510A | Breakdown (mechanical) of bile duct prosthesis, initial encounterCMS: Breakdown (mechanical) of bile duct prosthesis, init encntr | Can lead a claim | A | None |
| T85.510D | Breakdown (mechanical) of bile duct prosthesis, subsequent encounterCMS: Breakdown (mechanical) of bile duct prosthesis, subs encntr | Can lead a claim | A | None |
| T85.510S | Breakdown (mechanical) of bile duct prosthesis, sequela | Can lead a claim | A | None |
| T85.511 Breakdown (mechanical) of esophageal anti-reflux device | ||||
| T85.511A | Breakdown (mechanical) of esophageal anti-reflux device, initial encounterCMS: Breakdown of esophageal anti-reflux device, init | Can lead a claim | A | None |
| T85.511D | Breakdown (mechanical) of esophageal anti-reflux device, subsequent encounterCMS: Breakdown of esophageal anti-reflux device, subs | Can lead a claim | A | None |
| T85.511S | Breakdown (mechanical) of esophageal anti-reflux device, sequelaCMS: Breakdown of esophageal anti-reflux device, sequela | Can lead a claim | A | None |
| T85.518 Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts | ||||
| T85.518A | Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts, initial encounterCMS: Breakdown (mechanical) of GI prosth dev/grft, init | Can lead a claim | A | None |
| T85.518D | Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts, subsequent encounterCMS: Breakdown (mechanical) of GI prosth dev/grft, subs | Can lead a claim | A | None |
| T85.518S | Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts, sequelaCMS: Breakdown (mechanical) of GI prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.52 Displacement of gastrointestinal prosthetic devices, implants and grafts | ||||
| T85.520 Displacement of bile duct prosthesis | ||||
| T85.520A | Displacement of bile duct prosthesis, initial encounter | Can lead a claim | A | None |
| T85.520D | Displacement of bile duct prosthesis, subsequent encounter | Can lead a claim | A | None |
| T85.520S | Displacement of bile duct prosthesis, sequela | Can lead a claim | A | None |
| T85.521 Displacement of esophageal anti-reflux device | ||||
| T85.521A | Displacement of esophageal anti-reflux device, initial encounterCMS: Displacement of esophageal anti-reflux device, init encntr | Can lead a claim | A | None |
| T85.521D | Displacement of esophageal anti-reflux device, subsequent encounterCMS: Displacement of esophageal anti-reflux device, subs encntr | Can lead a claim | A | None |
| T85.521S | Displacement of esophageal anti-reflux device, sequela | Can lead a claim | A | None |
| T85.528 Displacement of other gastrointestinal prosthetic devices, implants and grafts | ||||
| T85.528A | Displacement of other gastrointestinal prosthetic devices, implants and grafts, initial encounterCMS: Displacement of gastrointestinal prosth dev/grft, init | Can lead a claim | A | None |
| T85.528D | Displacement of other gastrointestinal prosthetic devices, implants and grafts, subsequent encounterCMS: Displacement of gastrointestinal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.528S | Displacement of other gastrointestinal prosthetic devices, implants and grafts, sequelaCMS: Displacement of gastrointestinal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.59 Other mechanical complication of gastrointestinal prosthetic devices, implants and | ||||
| T85.590 Other mechanical complication of bile duct prosthesis | ||||
| T85.590A | Other mechanical complication of bile duct prosthesis, initial encounterCMS: Mech compl of bile duct prosthesis, initial encounter | Can lead a claim | A | None |
| T85.590D | Other mechanical complication of bile duct prosthesis, subsequent encounterCMS: Mech compl of bile duct prosthesis, subsequent encounter | Can lead a claim | A | None |
| T85.590S | Other mechanical complication of bile duct prosthesis, sequelaCMS: Mech compl of bile duct prosthesis, sequela | Can lead a claim | A | None |
| T85.591 Other mechanical complication of esophageal anti-reflux device | ||||
| T85.591A | Other mechanical complication of esophageal anti-reflux device, initial encounterCMS: Mech compl of esophageal anti-reflux device, init encntr | Can lead a claim | A | None |
| T85.591D | Other mechanical complication of esophageal anti-reflux device, subsequent encounterCMS: Mech compl of esophageal anti-reflux device, subs encntr | Can lead a claim | A | None |
| T85.591S | Other mechanical complication of esophageal anti-reflux device, sequelaCMS: Mech compl of esophageal anti-reflux device, sequela | Can lead a claim | A | None |
| T85.598 Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts | ||||
| T85.598A | Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, initial encounterCMS: Mech compl of gastrointestinal prosth dev/grft, init | Can lead a claim | A | None |
| T85.598D | Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, subsequent encounterCMS: Mech compl of gastrointestinal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.598S | Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts, sequelaCMS: Mech compl of gastrointestinal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.6 Mechanical complication of other specified internal and external prosthetic devices, implants and grafts | ||||
| T85.61 Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts | ||||
| T85.610 Breakdown (mechanical) of cranial or spinal infusion catheter | ||||
| T85.610A | Breakdown (mechanical) of cranial or spinal infusion catheter, initial encounterCMS: Breakdown of cranial or spinal infusion catheter, init | Can lead a claim | B | None |
| T85.610D | Breakdown (mechanical) of cranial or spinal infusion catheter, subsequent encounterCMS: Breakdown of cranial or spinal infusion catheter, subs | Can lead a claim | B | None |
| T85.610S | Breakdown (mechanical) of cranial or spinal infusion catheter, sequelaCMS: Breakdown of cranial or spinal infusion catheter, sequela | Can lead a claim | B | None |
| T85.611 Breakdown (mechanical) of intraperitoneal dialysis catheter | ||||
| T85.611A | Breakdown (mechanical) of intraperitoneal dialysis catheter, initial encounterCMS: Breakdown of intraperitoneal dialysis catheter, init | Can lead a claim | A | None |
| T85.611D | Breakdown (mechanical) of intraperitoneal dialysis catheter, subsequent encounterCMS: Breakdown of intraperitoneal dialysis catheter, subs | Can lead a claim | A | None |
| T85.611S | Breakdown (mechanical) of intraperitoneal dialysis catheter, sequelaCMS: Breakdown of intraperitoneal dialysis catheter, sequela | Can lead a claim | A | None |
| T85.612 Breakdown (mechanical) of permanent sutures | ||||
| T85.612A | Breakdown (mechanical) of permanent sutures, initial encounterCMS: Breakdown (mechanical) of permanent sutures, init encntr | Can lead a claim | A | None |
| T85.612D | Breakdown (mechanical) of permanent sutures, subsequent encounterCMS: Breakdown (mechanical) of permanent sutures, subs encntr | Can lead a claim | A | None |
| T85.612S | Breakdown (mechanical) of permanent sutures, sequela | Can lead a claim | A | None |
| T85.613 Breakdown (mechanical) of artificial skin graft and decellularized allodermis | ||||
| T85.613A | Breakdown (mechanical) of artificial skin graft and decellularized allodermis, initial encounterCMS: Breakdown of artificial skin grft /decellular alloderm, init | Can lead a claim | A | None |
| T85.613D | Breakdown (mechanical) of artificial skin graft and decellularized allodermis, subsequent encounterCMS: Breakdown of artificial skin grft /decellular alloderm, subs | Can lead a claim | A | None |
| T85.613S | Breakdown (mechanical) of artificial skin graft and decellularized allodermis, sequelaCMS: Brkdwn artificial skin grft /decellular alloderm, sequela | Can lead a claim | A | None |
| T85.614 Breakdown (mechanical) of insulin pump | ||||
| T85.614A | Breakdown (mechanical) of insulin pump, initial encounter | Can lead a claim | A | None |
| T85.614D | Breakdown (mechanical) of insulin pump, subsequent encounter | Can lead a claim | A | None |
| T85.614S | Breakdown (mechanical) of insulin pump, sequela | Can lead a claim | A | None |
| T85.615 Breakdown (mechanical) of other nervous system device, implant or graft | ||||
| T85.615A | Breakdown (mechanical) of other nervous system device, implant or graft, initial encounterCMS: Brkdwn other nervous sys device, implant or graft, init | Can lead a claim | B | None |
| T85.615D | Breakdown (mechanical) of other nervous system device, implant or graft, subsequent encounterCMS: Brkdwn other nervous sys device, implant or graft, subs | Can lead a claim | B | None |
| T85.615S | Breakdown (mechanical) of other nervous system device, implant or graft, sequelaCMS: Brkdwn other nervous sys device, implant or graft, sequela | Can lead a claim | B | None |
| T85.618 Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts | ||||
| T85.618A | Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts, initial encounterCMS: Breakdown (mechanical) of internal prosth dev/grft, init | Can lead a claim | A | None |
| T85.618D | Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts, subsequent encounterCMS: Breakdown (mechanical) of internal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.618S | Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts, sequelaCMS: Breakdown (mechanical) of internal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.62 Displacement of other specified internal prosthetic devices, implants and grafts | ||||
| T85.620 Displacement of cranial or spinal infusion catheter | ||||
| T85.620A | Displacement of cranial or spinal infusion catheter, initial encounterCMS: Displacement of cranial or spinal infusion catheter, init | Can lead a claim | B | None |
| T85.620D | Displacement of cranial or spinal infusion catheter, subsequent encounterCMS: Displacement of cranial or spinal infusion catheter, subs | Can lead a claim | B | None |
| T85.620S | Displacement of cranial or spinal infusion catheter, sequela | Can lead a claim | B | None |
| T85.621 Displacement of intraperitoneal dialysis catheter | ||||
| T85.621A | Displacement of intraperitoneal dialysis catheter, initial encounterCMS: Displacement of intraperitoneal dialysis catheter, init | Can lead a claim | A | None |
| T85.621D | Displacement of intraperitoneal dialysis catheter, subsequent encounterCMS: Displacement of intraperitoneal dialysis catheter, subs | Can lead a claim | A | None |
| T85.621S | Displacement of intraperitoneal dialysis catheter, sequela | Can lead a claim | A | None |
| T85.622 Displacement of permanent sutures | ||||
| T85.622A | Displacement of permanent sutures, initial encounter | Can lead a claim | A | None |
| T85.622D | Displacement of permanent sutures, subsequent encounter | Can lead a claim | A | None |
| T85.622S | Displacement of permanent sutures, sequela | Can lead a claim | A | None |
| T85.623 Displacement of artificial skin graft and decellularized allodermis | ||||
| T85.623A | Displacement of artificial skin graft and decellularized allodermis, initial encounterCMS: Displacmnt of artif skin grft /decellular alloderm, init | Can lead a claim | A | None |
| T85.623D | Displacement of artificial skin graft and decellularized allodermis, subsequent encounterCMS: Displacmnt of artif skin grft /decellular alloderm, subs | Can lead a claim | A | None |
| T85.623S | Displacement of artificial skin graft and decellularized allodermis, sequelaCMS: Displacmnt of artif skin grft /decellular alloderm, sequela | Can lead a claim | A | None |
| T85.624 Displacement of insulin pump | ||||
| T85.624A | Displacement of insulin pump, initial encounter | Can lead a claim | A | None |
| T85.624D | Displacement of insulin pump, subsequent encounter | Can lead a claim | A | None |
| T85.624S | Displacement of insulin pump, sequela | Can lead a claim | A | None |
| T85.625 Displacement of other nervous system device, implant or graft | ||||
| T85.625A | Displacement of other nervous system device, implant or graft, initial encounterCMS: Displacmnt of nervous sys device, implant or graft, init | Can lead a claim | B | None |
| T85.625D | Displacement of other nervous system device, implant or graft, subsequent encounterCMS: Displacmnt of nervous sys device, implant or graft, subs | Can lead a claim | B | None |
| T85.625S | Displacement of other nervous system device, implant or graft, sequelaCMS: Displacmnt of nervous sys device, implant or graft, sequela | Can lead a claim | B | None |
| T85.628 Displacement of other specified internal prosthetic devices, implants and grafts | ||||
| T85.628A | Displacement of other specified internal prosthetic devices, implants and grafts, initial encounterCMS: Displacement of internal prosth dev/grft, init | Can lead a claim | A | None |
| T85.628D | Displacement of other specified internal prosthetic devices, implants and grafts, subsequent encounterCMS: Displacement of internal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.628S | Displacement of other specified internal prosthetic devices, implants and grafts, sequelaCMS: Displacement of internal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.63 Leakage of other specified internal prosthetic devices, implants and grafts | ||||
| T85.630 Leakage of cranial or spinal infusion catheter | ||||
| T85.630A | Leakage of cranial or spinal infusion catheter, initial encounterCMS: Leakage of cranial or spinal infusion catheter, init | Can lead a claim | B | None |
| T85.630D | Leakage of cranial or spinal infusion catheter, subsequent encounterCMS: Leakage of cranial or spinal infusion catheter, subs | Can lead a claim | B | None |
| T85.630S | Leakage of cranial or spinal infusion catheter, sequela | Can lead a claim | B | None |
| T85.631 Leakage of intraperitoneal dialysis catheter | ||||
| T85.631A | Leakage of intraperitoneal dialysis catheter, initial encounterCMS: Leakage of intraperitoneal dialysis catheter, init encntr | Can lead a claim | A | None |
| T85.631D | Leakage of intraperitoneal dialysis catheter, subsequent encounterCMS: Leakage of intraperitoneal dialysis catheter, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T85.631S | Leakage of intraperitoneal dialysis catheter, sequela | Can lead a claim | A | None |
| T85.633 Leakage of insulin pump | ||||
| T85.633A | Leakage of insulin pump, initial encounter | Can lead a claim | A | None |
| T85.633D | Leakage of insulin pump, subsequent encounter | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T85.633S | Leakage of insulin pump, sequela | Can lead a claim | A | None |
| T85.635 Leakage of other nervous system device, implant or graft | ||||
| T85.635A | Leakage of other nervous system device, implant or graft, initial encounterCMS: Leakage of other nervous sys device, implant or graft, init | Can lead a claim | B | None |
| T85.635D | Leakage of other nervous system device, implant or graft, subsequent encounterCMS: Leakage of other nervous sys device, implant or graft, subs | Can lead a claim | B | None |
| T85.635S | Leakage of other nervous system device, implant or graft, sequelaCMS: Leakage of nervous sys device, implant or graft, sequela | Can lead a claim | B | None |
| T85.638 Leakage of other specified internal prosthetic devices, implants and grafts | ||||
| T85.638A | Leakage of other specified internal prosthetic devices, implants and grafts, initial encounterCMS: Leakage of internal prosth dev/grft, init | Can lead a claim | A | None |
| T85.638D | Leakage of other specified internal prosthetic devices, implants and grafts, subsequent encounterCMS: Leakage of internal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.638S | Leakage of other specified internal prosthetic devices, implants and grafts, sequelaCMS: Leakage of internal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.69 Other mechanical complication of other specified internal prosthetic devices, implants and grafts | ||||
| T85.690 Other mechanical complication of cranial or spinal infusion catheter | ||||
| T85.690A | Other mechanical complication of cranial or spinal infusion catheter, initial encounterCMS: Mech compl of cranial or spinal infusion catheter, init | Can lead a claim | B | None |
| T85.690D | Other mechanical complication of cranial or spinal infusion catheter, subsequent encounterCMS: Mech compl of cranial or spinal infusion catheter, subs | Can lead a claim | B | None |
| T85.690S | Other mechanical complication of cranial or spinal infusion catheter, sequelaCMS: Mech compl of cranial or spinal infusion catheter, sequela | Can lead a claim | B | None |
| T85.691 Other mechanical complication of intraperitoneal dialysis catheter | ||||
| T85.691A | Other mechanical complication of intraperitoneal dialysis catheter, initial encounterCMS: Mech compl of intraperitoneal dialysis catheter, init encntr | Can lead a claim | A | None |
| T85.691D | Other mechanical complication of intraperitoneal dialysis catheter, subsequent encounterCMS: Mech compl of intraperitoneal dialysis catheter, subs encntr | Can lead a claim | A | None |
| T85.691S | Other mechanical complication of intraperitoneal dialysis catheter, sequelaCMS: Mech compl of intraperitoneal dialysis catheter, sequela | Can lead a claim | A | None |
| T85.692 Other mechanical complication of permanent sutures | ||||
| T85.692A | Other mechanical complication of permanent sutures, initial encounterCMS: Mech compl of permanent sutures, initial encounter | Can lead a claim | A | None |
| T85.692D | Other mechanical complication of permanent sutures, subsequent encounterCMS: Mech compl of permanent sutures, subsequent encounter | Can lead a claim | A | None |
| T85.692S | Other mechanical complication of permanent sutures, sequela | Can lead a claim | A | None |
| T85.693 Other mechanical complication of artificial skin graft and decellularized allodermis | ||||
| T85.693A | Other mechanical complication of artificial skin graft and decellularized allodermis, initial encounterCMS: Mech compl of artif skin grft /decellular alloderm, init | Can lead a claim | C | None |
| T85.693D | Other mechanical complication of artificial skin graft and decellularized allodermis, subsequent encounterCMS: Mech compl of artif skin grft /decellular alloderm, subs | Can lead a claim | C | None |
| T85.693S | Other mechanical complication of artificial skin graft and decellularized allodermis, sequelaCMS: Mech compl of artif skin grft /decellular alloderm, sequela | Can lead a claim | C | None |
| T85.694 Other mechanical complication of insulin pump | ||||
| T85.694A | Other mechanical complication of insulin pump, initial encounterCMS: Mech compl of insulin pump, initial encounter | Can lead a claim | A | None |
| T85.694D | Other mechanical complication of insulin pump, subsequent encounterCMS: Mech compl of insulin pump, subsequent encounter | Can lead a claim | A | None |
| T85.694S | Other mechanical complication of insulin pump, sequela | Can lead a claim | A | None |
| T85.695 Other mechanical complication of other nervous system device, implant or graft | ||||
| T85.695A | Other mechanical complication of other nervous system device, implant or graft, initial encounterCMS: Mech compl of nervous sys device, implant or graft, init | Can lead a claim | B | None |
| T85.695D | Other mechanical complication of other nervous system device, implant or graft, subsequent encounterCMS: Mech compl of nervous sys device, implant or graft, subs | Can lead a claim | B | None |
| T85.695S | Other mechanical complication of other nervous system device, implant or graft, sequelaCMS: Mech compl of nervous sys device, implant or graft, sequela | Can lead a claim | B | None |
| T85.698 Other mechanical complication of other specified internal prosthetic devices, implants and grafts | ||||
| T85.698A | Other mechanical complication of other specified internal prosthetic devices, implants and grafts, initial encounterCMS: Mech compl of internal prosth dev/grft, init | Can lead a claim | A | None |
| T85.698D | Other mechanical complication of other specified internal prosthetic devices, implants and grafts, subsequent encounterCMS: Mech compl of internal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.698S | Other mechanical complication of other specified internal prosthetic devices, implants and grafts, sequelaCMS: Mech compl of internal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.7 Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts | ||||
| T85.71 Infection and inflammatory reaction due to peritoneal dialysis catheter | ||||
| T85.71XA | Infection and inflammatory reaction due to peritoneal dialysis catheter, initial encounterCMS: Infect/inflm reaction due to periton dialysis catheter, init | Can lead a claim | A | None |
| T85.71XD | Infection and inflammatory reaction due to peritoneal dialysis catheter, subsequent encounterCMS: Infect/inflm reaction due to periton dialysis catheter, subs | Can lead a claim | A | None |
| T85.71XS | Infection and inflammatory reaction due to peritoneal dialysis catheter, sequelaCMS: Infect/inflm reaction due to periton dialysis cath, sequela | Can lead a claim | A | None |
| T85.72 Infection and inflammatory reaction due to insulin pump | ||||
| T85.72XA | Infection and inflammatory reaction due to insulin pump, initial encounterCMS: Infect/inflm reaction due to insulin pump, init | Can lead a claim | A | None |
| T85.72XD | Infection and inflammatory reaction due to insulin pump, subsequent encounterCMS: Infect/inflm reaction due to insulin pump, subs | Can lead a claim | A | None |
| T85.72XS | Infection and inflammatory reaction due to insulin pump, sequelaCMS: Infect/inflm reaction due to insulin pump, sequela | Can lead a claim | A | None |
| T85.73 Infection and inflammatory reaction due to nervous system devices, implants and graft | ||||
| T85.730 Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt | ||||
| T85.730A | Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt, initial encounterCMS: I/I react d/t ventricular intracranial shunt, init | Can lead a claim | B | None |
| T85.730D | Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt, subsequent encounterCMS: I/I react d/t ventricular intracranial shunt, subs | Can lead a claim | B | None |
| T85.730S | Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt, sequelaCMS: I/I react d/t ventricular intracranial shunt, sequela | Can lead a claim | B | None |
| T85.731 Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead) | ||||
| T85.731A | Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), initial encounterCMS: I/I react d/t implnt elec nstim of brain, lead, init | Can lead a claim | B | None |
| T85.731D | Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), subsequent encounterCMS: I/I react d/t implnt elec nstim of brain, lead, subs | Can lead a claim | B | None |
| T85.731S | Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), sequelaCMS: I/I react d/t implnt elec nstim of brain, lead, sequela | Can lead a claim | B | None |
| T85.732 Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead) | ||||
| T85.732A | Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounterCMS: I/I react d/t implnt elec nstim of prph nrv, lead, init | Can lead a claim | B | None |
| T85.732D | Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), subsequent encounterCMS: I/I react d/t implnt elec nstim of prph nrv, lead, subs | Can lead a claim | B | None |
| T85.732S | Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequelaCMS: I/I react d/t implnt elec nstim of prph nrv, lead, sequela | Can lead a claim | A | None |
| T85.733 Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead) | ||||
| T85.733A | Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounterCMS: I/I react d/t implnt elec nstim of spinal cord, lead, init | Can lead a claim | A | None |
| T85.733D | Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), subsequent encounterCMS: I/I react d/t implnt elec nstim of spinal cord, lead, subs | Can lead a claim | B | None |
| T85.733S | Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), sequelaCMS: I/I react d/t implnt elec nstim of spinal cord, lead, sqla | Can lead a claim | B | None |
| T85.734 Infection and inflammatory reaction due to implanted electronic neurostimulator, generator | ||||
| T85.734A | Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, initial encounterCMS: I/I react d/t implnt elec nstim, generator, init | Can lead a claim | B | None |
| T85.734D | Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, subsequent encounterCMS: I/I react d/t implnt elec nstim, generator, subs | Can lead a claim | B | None |
| T85.734S | Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, sequelaCMS: I/I react d/t implnt elec nstim, generator, sequela | Can lead a claim | B | None |
| T85.735 Infection and inflammatory reaction due to cranial or spinal infusion catheter | ||||
| T85.735A | Infection and inflammatory reaction due to cranial or spinal infusion catheter, initial encounterCMS: I/I react d/t cranial or spinal infusion catheter, init | Can lead a claim | B | None |
| T85.735D | Infection and inflammatory reaction due to cranial or spinal infusion catheter, subsequent encounterCMS: I/I react d/t cranial or spinal infusion catheter, subs | Can lead a claim | B | None |
| T85.735S | Infection and inflammatory reaction due to cranial or spinal infusion catheter, sequelaCMS: I/I react d/t cranial or spinal infusion catheter, sequela | Can lead a claim | B | None |
| T85.738 Infection and inflammatory reaction due to other nervous system device, implant or graft | ||||
| T85.738A | Infection and inflammatory reaction due to other nervous system device, implant or graft, initial encounterCMS: I/I react d/t other nrv sys device, implnt or graft, init | Can lead a claim | B | None |
| T85.738D | Infection and inflammatory reaction due to other nervous system device, implant or graft, subsequent encounterCMS: I/I react d/t other nrv sys device, implnt or graft, subs | Can lead a claim | B | None |
| T85.738S | Infection and inflammatory reaction due to other nervous system device, implant or graft, sequelaCMS: I/I react d/t other nrv sys device, implnt or graft, sequela | Can lead a claim | B | None |
| T85.79 Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts | ||||
| T85.79XA | Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounterCMS: Infect/inflm reaction due to oth int prosth dev/grft, init | Can lead a claim | B | None |
| T85.79XD | Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, subsequent encounterCMS: Infect/inflm reaction due to oth int prosth dev/grft, subs | Can lead a claim | B | None |
| T85.79XS | Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, sequelaCMS: Infect/inflm react due to oth int prosth dev/grft, sequela | Can lead a claim | B | None |
| T85.8 Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classified | ||||
| T85.81 Embolism due to internal prosthetic devices, implants and grafts, not elsewhere classified | ||||
| T85.810 Embolism due to nervous system prosthetic devices, implants and grafts | ||||
| T85.810A | Embolism due to nervous system prosthetic devices, implants and grafts, initial encounterCMS: Embolism due to nervous system prosth dev/grft, init | Can lead a claim | B | None |
| T85.810D | Embolism due to nervous system prosthetic devices, implants and grafts, subsequent encounterCMS: Embolism due to nervous system prosth dev/grft, subs | Can lead a claim | B | None |
| T85.810S | Embolism due to nervous system prosthetic devices, implants and grafts, sequelaCMS: Embolism due to nervous system prosth dev/grft, sequela | Can lead a claim | B | None |
| T85.818 Embolism due to other internal prosthetic devices, implants and grafts | ||||
| T85.818A | Embolism due to other internal prosthetic devices, implants and grafts, initial encounterCMS: Embolism due to other internal prosth dev/grft, init | Can lead a claim | A | None |
| T85.818D | Embolism due to other internal prosthetic devices, implants and grafts, subsequent encounterCMS: Embolism due to other internal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.818S | Embolism due to other internal prosthetic devices, implants and grafts, sequelaCMS: Embolism due to other internal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.82 Fibrosis due to internal prosthetic devices, implants and grafts, not elsewhere classified | ||||
| T85.820 Fibrosis due to nervous system prosthetic devices, implants and grafts | ||||
| T85.820A | Fibrosis due to nervous system prosthetic devices, implants and grafts, initial encounterCMS: Fibrosis due to nervous system prosth dev/grft, init | Can lead a claim | B | None |
| T85.820D | Fibrosis due to nervous system prosthetic devices, implants and grafts, subsequent encounterCMS: Fibrosis due to nervous system prosth dev/grft, subs | Can lead a claim | B | None |
| T85.820S | Fibrosis due to nervous system prosthetic devices, implants and grafts, sequelaCMS: Fibrosis due to nervous system prosth dev/grft, sequela | Can lead a claim | B | None |
| T85.828 Fibrosis due to other internal prosthetic devices, implants and grafts | ||||
| T85.828A | Fibrosis due to other internal prosthetic devices, implants and grafts, initial encounterCMS: Fibrosis due to other internal prosth dev/grft, init | Can lead a claim | A | None |
| T85.828D | Fibrosis due to other internal prosthetic devices, implants and grafts, subsequent encounterCMS: Fibrosis due to other internal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.828S | Fibrosis due to other internal prosthetic devices, implants and grafts, sequelaCMS: Fibrosis due to other internal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.83 Hemorrhage due to internal prosthetic devices, implants and grafts, not elsewhere classified | ||||
| T85.830 Hemorrhage due to nervous system prosthetic devices, implants and grafts | ||||
| T85.830A | Hemorrhage due to nervous system prosthetic devices, implants and grafts, initial encounterCMS: Hemorrhage due to nervous system prosth dev/grft, init | Can lead a claim | B | None |
| T85.830D | Hemorrhage due to nervous system prosthetic devices, implants and grafts, subsequent encounterCMS: Hemorrhage due to nervous system prosth dev/grft, subs | Can lead a claim | B | None |
| T85.830S | Hemorrhage due to nervous system prosthetic devices, implants and grafts, sequelaCMS: Hemorrhage due to nervous system prosth dev/grft, sequela | Can lead a claim | B | None |
| T85.838 Hemorrhage due to other internal prosthetic devices, implants and grafts | ||||
| T85.838A | Hemorrhage due to other internal prosthetic devices, implants and grafts, initial encounterCMS: Hemorrhage due to other internal prosth dev/grft, init | Can lead a claim | A | None |
| T85.838D | Hemorrhage due to other internal prosthetic devices, implants and grafts, subsequent encounterCMS: Hemorrhage due to other internal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.838S | Hemorrhage due to other internal prosthetic devices, implants and grafts, sequelaCMS: Hemorrhage due to other internal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.84 Pain due to internal prosthetic devices, implants and grafts, not elsewhere classified | ||||
| T85.840 Pain due to nervous system prosthetic devices, implants and grafts | ||||
| T85.840A | Pain due to nervous system prosthetic devices, implants and grafts, initial encounterCMS: Pain due to nervous system prosth dev/grft, init | Can lead a claim | A | None |
| T85.840D | Pain due to nervous system prosthetic devices, implants and grafts, subsequent encounterCMS: Pain due to nervous system prosth dev/grft, subs | Can lead a claim | A | None |
| T85.840S | Pain due to nervous system prosthetic devices, implants and grafts, sequelaCMS: Pain due to nervous system prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.848 Pain due to other internal prosthetic devices, implants and grafts | ||||
| T85.848A | Pain due to other internal prosthetic devices, implants and grafts, initial encounterCMS: Pain due to other internal prosth dev/grft, init | Can lead a claim | A | None |
| T85.848D | Pain due to other internal prosthetic devices, implants and grafts, subsequent encounterCMS: Pain due to other internal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.848S | Pain due to other internal prosthetic devices, implants and grafts, sequelaCMS: Pain due to other internal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.85 Stenosis due to internal prosthetic devices, implants and grafts, not elsewhere classified | ||||
| T85.850 Stenosis due to nervous system prosthetic devices, implants and grafts | ||||
| T85.850A | Stenosis due to nervous system prosthetic devices, implants and grafts, initial encounterCMS: Stenosis due to nervous system prosth dev/grft, init | Can lead a claim | A | None |
| T85.850D | Stenosis due to nervous system prosthetic devices, implants and grafts, subsequent encounterCMS: Stenosis due to nervous system prosth dev/grft, subs | Can lead a claim | B | None |
| T85.850S | Stenosis due to nervous system prosthetic devices, implants and grafts, sequelaCMS: Stenosis due to nervous system prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.858 Stenosis due to other internal prosthetic devices, implants and grafts | ||||
| T85.858A | Stenosis due to other internal prosthetic devices, implants and grafts, initial encounterCMS: Stenosis due to other internal prosth dev/grft, init | Can lead a claim | A | None |
| T85.858D | Stenosis due to other internal prosthetic devices, implants and grafts, subsequent encounterCMS: Stenosis due to other internal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.858S | Stenosis due to other internal prosthetic devices, implants and grafts, sequelaCMS: Stenosis due to other internal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.86 Thrombosis due to internal prosthetic devices, implants and grafts, not elsewhere classified | ||||
| T85.860 Thrombosis due to nervous system prosthetic devices, implants and grafts | ||||
| T85.860A | Thrombosis due to nervous system prosthetic devices, implants and grafts, initial encounterCMS: Thrombosis due to nervous system prosth dev/grft, init | Can lead a claim | A | None |
| T85.860D | Thrombosis due to nervous system prosthetic devices, implants and grafts, subsequent encounterCMS: Thrombosis due to nervous system prosth dev/grft, subs | Can lead a claim | A | None |
| T85.860S | Thrombosis due to nervous system prosthetic devices, implants and grafts, sequelaCMS: Thrombosis due to nervous system prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.868 Thrombosis due to other internal prosthetic devices, implants and grafts | ||||
| T85.868A | Thrombosis due to other internal prosthetic devices, implants and grafts, initial encounterCMS: Thrombosis due to other internal prosth dev/grft, init | Can lead a claim | A | None |
| T85.868D | Thrombosis due to other internal prosthetic devices, implants and grafts, subsequent encounterCMS: Thrombosis due to other internal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.868S | Thrombosis due to other internal prosthetic devices, implants and grafts, sequelaCMS: Thrombosis due to other internal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.89 Other specified complication of internal prosthetic devices, implants and grafts, not elsewhere classified | ||||
| T85.890 Other specified complication of nervous system prosthetic devices, implants and grafts | ||||
| T85.890A | Other specified complication of nervous system prosthetic devices, implants and grafts, initial encounterCMS: Oth complication of nervous system prosth dev/grft, init | Can lead a claim | A | None |
| T85.890D | Other specified complication of nervous system prosthetic devices, implants and grafts, subsequent encounterCMS: Oth complication of nervous system prosth dev/grft, subs | Can lead a claim | A | None |
| T85.890S | Other specified complication of nervous system prosthetic devices, implants and grafts, sequelaCMS: Oth complication of nervous system prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.898 Other specified complication of other internal prosthetic devices, implants and grafts | ||||
| T85.898A | Other specified complication of other internal prosthetic devices, implants and grafts, initial encounterCMS: Oth complication of other internal prosth dev/grft, init | Can lead a claim | A | None |
| T85.898D | Other specified complication of other internal prosthetic devices, implants and grafts, subsequent encounterCMS: Oth complication of other internal prosth dev/grft, subs | Can lead a claim | A | None |
| T85.898S | Other specified complication of other internal prosthetic devices, implants and grafts, sequelaCMS: Oth complication of other internal prosth dev/grft, sequela | Can lead a claim | A | None |
| T85.9 Unspecified complication of internal prosthetic device, implant and graft | ||||
| T85.9XXA | Unspecified complication of internal prosthetic device, implant and graft, initial encounterCMS: Unsp complication of internal prosth dev/grft, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T85.9XXD | Unspecified complication of internal prosthetic device, implant and graft, subsequent encounterCMS: Unsp complication of internal prosth dev/grft, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T85.9XXS | Unspecified complication of internal prosthetic device, implant and graft, sequelaCMS: Unsp complication of internal prosth dev/grft, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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