E86 (Volume depletion) compared with T84.49 (Other mechanical complication of other internal orthopedic devices, implants and grafts), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“disorders of fluid and electrolyte imbalance (E86-E87)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. T84.49 carries an Excludes2 note covering E86: “disorders of fluid and electrolyte imbalance (E86-E87)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| E86Volume depletion | T84.49Other mechanical complication of other internal orthopedic devices, implants and grafts | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Volume depletion is a non-billable ICD-10-CM category code (E86). | Other mechanical complication of other internal orthopedic devices, implants and grafts is a non-billable ICD-10-CM category code (T84.49). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T84 |
| Includes | — | Mechanical complication of other internal orthopedic devices, implants and grafts NOS Obstruction (mechanical) of other internal orthopedic devices, implants and grafts Perforation of other internal orthopedic devices, implants and grafts Protrusion of other internal orthopedic devices, implants and grafts |
| Use additional code | code(s) for any associated disorders of electrolyte and acid-base balance (E87.-) | code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) code(s) to identify the specified condition resulting from the complication code to identify devices involved and details of circumstances (Y62-Y82) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources