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T85.690D vs Z93

T85.690D (Other mechanical complication of cranial or spinal infusion catheter, subsequent encounter) compared with Z93 (Artificial opening status), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. T85.690D carries an Excludes2 note covering Z93: “artificial opening status (Z93.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

T85.690DOther mechanical complication of cranial or spinal infusion catheter, subsequent encounterZ93Artificial opening status
Billing statusBillableNon-billable header

Report instead: Z93.0, Z93.1, Z93.2, Z93.3, Z93.4

ClassificationS00-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)
DefinitionOther mechanical complication of cranial or spinal infusion catheter, subsequent encounter is a billable ICD-10-CM diagnosis code (T85.690D).Artificial opening status is a non-billable ICD-10-CM category code (Z93).
7th characterThe appropriate 7th character is to be added to each code from category T85
Includes
Other mechanical complication of epidural infusion catheter
Other mechanical complication of intrathecal infusion catheter
Other mechanical complication of subarachnoid infusion catheter
Other mechanical complication of subdural infusion catheter
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