T84.012D (Broken internal right knee prosthesis, subsequent encounter) compared with T84.013D (Broken internal left knee prosthesis, subsequent encounter), from the official CMS tabular data. T84.012D and T84.013D code the same condition on opposite sides.
Same condition; these differ only in which side is documented.
These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.
Source: ICD-10-CM tabular list (laterality variant derived from the code title)
Same condition, opposite side. T84.012D and T84.013D 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.
| T84.012DBroken internal right knee prosthesis, subsequent encounter | T84.013DBroken internal left knee prosthesis, 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 | Broken internal right knee prosthesis, subsequent encounter is a billable ICD-10-CM diagnosis code (T84.012D). | Broken internal left knee prosthesis, subsequent encounter is a billable ICD-10-CM diagnosis code (T84.013D). |
| 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