K91.1 vs T83.410D
K91.1 (Postgastric surgery syndromes) compared with T83.410D (Breakdown (mechanical) of implanted penile prosthesis, subsequent encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. T83.410D carries an Excludes2 note covering K91.1: “postgastric surgery syndromes (K91.1)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| K91.1Postgastric surgery syndromes | T83.410DBreakdown (mechanical) of implanted penile prosthesis, subsequent encounter | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | K00-K95 — Diseases of the Digestive System (K00-K95) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Postgastric surgery syndromes is a billable ICD-10-CM diagnosis code (K91.1). | Breakdown (mechanical) of implanted penile prosthesis, subsequent encounter is a billable ICD-10-CM diagnosis code (T83.410D). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T83 |
| Includes | Dumping syndrome Postgastrectomy syndrome Postvagotomy syndrome | Breakdown (mechanical) of penile prosthesis cylinder Breakdown (mechanical) of penile prosthesis pump Breakdown (mechanical) of penile prosthesis reservoir |
| 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