T83.79XA vs T83.79XD
T83.79XA (Other specified complications due to other genitourinary prosthetic materials, initial encounter) compared with T83.79XD (Other specified complications due to other genitourinary prosthetic materials, subsequent encounter), from the official CMS tabular data. T83.79XA and T83.79XD code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. T83.79XA and T83.79XD 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
| T83.79XAOther specified complications due to other genitourinary prosthetic materials, initial encounter | T83.79XDOther specified complications due to other genitourinary prosthetic materials, subsequent encounter | |
|---|---|---|
| Billing status | Billable | Billable |
| 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 specified complications due to other genitourinary prosthetic materials, initial encounter is a billable ICD-10-CM diagnosis code (T83.79A). | Other specified complications due to other genitourinary prosthetic materials, subsequent encounter is a billable ICD-10-CM diagnosis code (T83.79D). |
| 7th character | The appropriate 7th character is to be added to each code from category T83 | The appropriate 7th character is to be added to each code from category T83 |
| 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