I97.0 (Postcardiotomy syndrome) compared with T84.84XA (Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“functional disturbances following cardiac surgery (I97.0-I97.1)”
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. T84.84XA carries an Excludes2 note covering I97.0: “functional disturbances following cardiac surgery (I97.0-I97.1)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| I97.0Postcardiotomy syndrome | T84.84XAPain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | I00-I99 — Diseases of the Circulatory System (I00-I99) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Postcardiotomy syndrome is a billable ICD-10-CM diagnosis code (I97.0). | Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter is a billable ICD-10-CM diagnosis code (T84.84A). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T84 |
| Use additional code | — | 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