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T85.390A vs T85.391A

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

Relationship

Review

Laterality relationship

T85.390A
Right
Other mechanical complication of prosthetic orbit of right eye, initial encounter
T85.391A
Left
Other mechanical complication of prosthetic orbit of left eye, initial 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. T85.390A and T85.391A 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

T85.390AOther mechanical complication of prosthetic orbit of right eye, initial encounterT85.391AOther mechanical complication of prosthetic orbit of left eye, initial 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)
DefinitionOther mechanical complication of prosthetic orbit of right eye, initial encounter is a billable ICD-10-CM diagnosis code (T85.390A).Other mechanical complication of prosthetic orbit of left eye, initial encounter is a billable ICD-10-CM diagnosis code (T85.391A).
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