T81.59 vs T85.0
T81.59 (Other complications of foreign body accidentally left in body following procedure) compared with T85.0 (Mechanical complication of ventricular intracranial (communicating) shunt), 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. T81.59 carries an Excludes2 note covering T85.0: “obstruction or perforation due to prosthetic devices and implants intentionally left in body (T82.0-T82.5, T83.0-T83.4, T83.7, T84.0-T84.4, T85.0-T85.6)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. T81.59 carries an Excludes2 note covering T85.0: “complication of prosthetic devices, implants and grafts (T82-T85)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| T81.59Other complications of foreign body accidentally left in body following procedure | T85.0Mechanical complication of ventricular intracranial (communicating) shunt | |
|---|---|---|
| Billing status | Non-billable header Report instead: T81.590A, T81.590D, T81.590S, T81.591A, T81.591D | Non-billable header Report instead: T85.01XA, T85.01XD, T85.01XS, T85.02XA, T85.02XD |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Other complications of foreign body accidentally left in body following procedure is a non-billable ICD-10-CM category code (T81.59). | Mechanical complication of ventricular intracranial (communicating) shunt is a non-billable ICD-10-CM category code (T85.0). |
| 7th character | The appropriate 7th character is to be added to each code from category T81 | The appropriate 7th character is to be added to each code from category T85 |
| 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) | 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