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T84.052D vs T84.053D

T84.052D (Periprosthetic osteolysis of internal prosthetic right knee joint, subsequent encounter) compared with T84.053D (Periprosthetic osteolysis of internal prosthetic left knee joint, subsequent encounter), from the official CMS tabular data. T84.052D and T84.053D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

T84.052D
Right
Periprosthetic osteolysis of internal prosthetic right knee joint, subsequent encounter
T84.053D
Left
Periprosthetic osteolysis of internal prosthetic left knee joint, subsequent encounter

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)

Can these codes be reported together?

Same condition, opposite side. T84.052D and T84.053D 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

T84.052DPeriprosthetic osteolysis of internal prosthetic right knee joint, subsequent encounterT84.053DPeriprosthetic osteolysis of internal prosthetic left knee joint, subsequent encounter
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)
DefinitionPeriprosthetic osteolysis of internal prosthetic right knee joint, subsequent encounter is a billable ICD-10-CM diagnosis code (T84.052D).Periprosthetic osteolysis of internal prosthetic left knee joint, subsequent encounter is a billable ICD-10-CM diagnosis code (T84.053D).
7th characterThe appropriate 7th character is to be added to each code from category T84The appropriate 7th character is to be added to each code from category T84
Use additional code
code to identify major osseous defect, if applicable (M89.7-)
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 major osseous defect, if applicable (M89.7-)
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

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources