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T85.390 vs T85.391

T85.390 (Other mechanical complication of prosthetic orbit of right eye) compared with T85.391 (Other mechanical complication of prosthetic orbit of left eye), from the official CMS tabular data. T85.390 and T85.391 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

T85.390
Right
Other mechanical complication of prosthetic orbit of right eye
T85.391
Left
Other mechanical complication of prosthetic orbit of left eye

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. T85.390 and T85.391 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

T85.390Other mechanical complication of prosthetic orbit of right eyeT85.391Other mechanical complication of prosthetic orbit of left eye
Billing statusNon-billable headerNon-billable header
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)
DefinitionOther mechanical complication of prosthetic orbit of right eye is a non-billable ICD-10-CM category code (T85.390).Other mechanical complication of prosthetic orbit of left eye is a non-billable ICD-10-CM category code (T85.391).
7th characterThe appropriate 7th character is to be added to each code from category T85The 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