T84.81 (Embolism due to internal orthopedic prosthetic devices, implants and grafts) compared with Z44 (Encounter for fitting and adjustment of external prosthetic device), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“fitting and adjustment of external prosthetic device (Z44.-)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. T84.81 carries an Excludes2 note covering Z44: “fitting and adjustment of external prosthetic device (Z44.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| T84.81Embolism due to internal orthopedic prosthetic devices, implants and grafts | Z44Encounter for fitting and adjustment of external prosthetic device | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Embolism due to internal orthopedic prosthetic devices, implants and grafts is a non-billable ICD-10-CM category code (T84.81). | Encounter for fitting and adjustment of external prosthetic device is a non-billable ICD-10-CM category code (Z44). |
| 7th character | The appropriate 7th character is to be added to each code from category T84 | — |
| Includes | — | removal or replacement of external prosthetic device |
| 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) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources