T84.010 vs T84.011
T84.010 (Broken internal right hip prosthesis) compared with T84.011 (Broken internal left hip prosthesis), from the official CMS tabular data. T84.010 and T84.011 code the same condition on opposite sides.
Can these codes be reported together?
Same condition, opposite side. T84.010 and T84.011 name the same condition on opposite sides of the body.
Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.
Side by side
| T84.010Broken internal right hip prosthesis | T84.011Broken internal left hip prosthesis | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| 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 | Broken internal right hip prosthesis is a non-billable ICD-10-CM category code (T84.010). | Broken internal left hip prosthesis is a non-billable ICD-10-CM category code (T84.011). |
| 7th character | The appropriate 7th character is to be added to each code from category T84 | 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) | 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