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Compare/T84.1 vs T85.612

T84.1 vs T85.612

T84.1 (Mechanical complication of internal fixation device of bones of limb) compared with T85.612 (Breakdown (mechanical) of permanent sutures), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. T85.612 carries an Excludes1 note covering T84.1: “mechanical complication of permanent (wire) suture used in bone repair (T84.1-T84.2)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

T84.1Mechanical complication of internal fixation device of bones of limbT85.612Breakdown (mechanical) of permanent sutures
Billing statusNon-billable header

Report instead: T84.110A, T84.110D, T84.110S, T84.111A, T84.111D

Non-billable header

Report instead: T85.612A, T85.612D, T85.612S

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)
DefinitionMechanical complication of internal fixation device of bones of limb is a non-billable ICD-10-CM category code (T84.1).Breakdown (mechanical) of permanent sutures is a non-billable ICD-10-CM category code (T85.612).
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 T85
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