Coding and coverage · ICD-10-CM

T85 Complications of other internal prosthetic devices, implants and grafts

Not billable (header)Chapter 19

This code needs a 7th character (use X as a placeholder for missing characters).

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Codes under this one

  • T85.0 Mechanical complication of ventricular intracranial (communicating) shuntHeader
  • T85.1 Mechanical complication of implanted electronic stimulator of nervous systemHeader
  • T85.2 Mechanical complication of intraocular lensHeader
  • T85.3 Mechanical complication of other ocular prosthetic devices, implants and graftsHeader
  • T85.4 Mechanical complication of breast prosthesis and implantHeader
  • T85.5 Mechanical complication of gastrointestinal prosthetic devices, implants and graftsHeader
  • T85.6 Mechanical complication of other specified internal and external prosthetic devices, implants and graftsHeader
  • T85.7 Infection and inflammatory reaction due to other internal prosthetic devices, implants and graftsHeader
  • T85.8 Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classifiedHeader
  • T85.9 Unspecified complication of internal prosthetic device, implant and graftHeader

Instructional notes

Chapter 19

Excludes2Not included here: the patient may have both; report both when both are present.
Use additional codeAdd a second code for the full picture.
  • code to identify any retained foreign body, if applicable (Z18.-)
Notes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

This code

Excludes2Not included here: the patient may have both; report both when both are present.
  • failure and rejection of transplanted organs and tissue (T86.-)
7th charactersThe appropriate 7th character is to be added to each code from category T85
  • A initial encounter
  • D subsequent encounter
  • S sequela

Chapter 19: Injury, poisoning and certain other consequences of external causes · T07-T88 Injury, poisoning and certain other consequences of external causes (T07-T88)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.