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T83.490A vs T83.490S

T83.490A (Other mechanical complication of implanted penile prosthesis, initial encounter) compared with T83.490S (Other mechanical complication of implanted penile prosthesis, sequela), from the official CMS tabular data. T83.490A and T83.490S code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. T83.490A and T83.490S code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

T83.490AOther mechanical complication of implanted penile prosthesis, initial encounterT83.490SOther mechanical complication of implanted penile prosthesis, sequela
Billing statusBillableBillable
ClassificationS00-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)
DefinitionOther mechanical complication of implanted penile prosthesis, initial encounter is a billable ICD-10-CM diagnosis code (T83.490A).Other mechanical complication of implanted penile prosthesis, sequela is a billable ICD-10-CM diagnosis code (T83.490S).
7th characterThe appropriate 7th character is to be added to each code from category T83The appropriate 7th character is to be added to each code from category T83
Includes
Other mechanical complication of penile prosthesis cylinder
Other mechanical complication of penile prosthesis pump
Other mechanical complication of penile prosthesis reservoir
Other mechanical complication of penile prosthesis cylinder
Other mechanical complication of penile prosthesis pump
Other mechanical complication 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)
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