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T19.1XXD ICD-10-CM Code: Foreign body in bladder, subsequent encounter

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

7th character
Required — see the character table on this page
Tabular directives
7 Excludes2 · 1 use-additional code

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for T19.1XXD in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on T19.1XXD itself; “inherited from” names the category or block whose note applies here.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code, if known, for foreign body entering into or through a natural orifice (W44.-)

Source: inherited from T15-T19

7th Character Guide

"The appropriate 7th character is to be added to each code from category T19"

  • A — initial encounter
  • D — subsequent encounter (this page’s code)
  • S — sequela

How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.

ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).

Variant codes in this family

T19.1XXA, T19.1XXD, T19.1XXS

Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.

Coder workflow for T19.1XXD

MedCoder structured workflow — derived from this code’s own official record

Before you code T19.1XXD

  1. A 7th character is required in this family. Confirm the documented encounter: initial (active treatment), subsequent (healing or recovery phase), or sequela. This page’s code carries “D”. “Initial” means active treatment, not the first visit (Guidelines I.C.19.a).

    See the 7th Character Guide · Guide: 7th characters: initial, subsequent, sequela →

  2. Confirm the injury type, the anatomical site at the most specific level documented, laterality where the family codes it, and the encounter for the 7th character. Each injury is coded separately unless the classification provides a combination code, and a superficial injury is not coded when a more severe injury of the same site is documented. Injury chapter guidelines (Guidelines I.C.19.b, I.C.19.b.1).

    Guide: 7th characters: initial, subsequent, sequela →

Choose the right path

  1. Is the encounter phase documented — active treatment, healing or recovery, or a sequela?
    Yes → Assign the matching 7th character; the variant codes are in the 7th Character Guide.
    No → The code is invalid without its 7th character — query for the missing element.

Consider T19.1XXD. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Anatomical site
At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.
Encounter type
Active treatment, healing or recovery phase, or sequela — the basis of the 7th character (Guidelines I.C.19.a).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
External cause, place and activity
For the external cause codes reported with the injury or poisoning, where documented (Guidelines I.C.20.a).

Official instructions as workflow

  • Excludes2 — not part of T19.1XXD(7 notes)

    Coding workflow: The conditions named in this note are not included in T19.1XXD. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareT83.7, T83.3, Z97.5, T81.5, M79.5

    See the official tabular notes · Guidelines I.A.12.b

  • Use Additional Code — after identifying T19.1XXD(1 note)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with T19.1XXD when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewW44

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The patient returns during the healing or recovery phase after active treatment of the same condition.

Coding question: Which 7th character applies?

Path: Review the official 7th-character definitions for this family in the 7th Character Guide.

Reason: “Initial encounter” means active treatment, not the first visit; care during recovery takes “subsequent encounter”, and a complication arising from the original condition takes “sequela” (Guidelines I.C.19.a).

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with T19.1XXD?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

ReviewW44

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Foreign body in bladder, subsequent encounter is a billable ICD-10-CM diagnosis code (T19.1XXD).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
  2. 1 Use Additional Code instruction — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
  3. 7 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name T19.1XXD or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: Z18 — Retained foreign body fragments (via T19.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 11 Excludes2 notes: S30 — Superficial injury of abdomen, lower back, pelvis and external genitals (via T19.-), S30-S39 — Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39) (via T19.-), S31 — Open wound of abdomen, lower back, pelvis and external genitals (via T19.-), S32 — Fracture of lumbar spine and pelvis (via T19.-), S33 — Dislocation and sprain of joints and ligaments of lumbar spine and pelvis (via T19.-), S34 — Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level (via T19.-), S35 — Injury of blood vessels at abdomen, lower back and pelvis level (via T19.-), S36 — Injury of intra-abdominal organs (via T19.-), S37 — Injury of urinary and pelvic organs (via T19.-), S38 — Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals (via T19.-), S39 — Other and unspecified injuries of abdomen, lower back, pelvis and external genitals (via T19.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):INJ057 — Effect of foreign body entering opening, subsequent encounter (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

T19.1XXA — Foreign body in bladder, initial encounterCompare T19.1XXD vs T19.1XXA →, T19.1XXS — Foreign body in bladder, sequela

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Effect of foreign body entering opening, subsequent encounter).

T18.100D — Unspecified foreign body in esophagus causing compression of trachea, subsequent encounter, T18.108D — Unspecified foreign body in esophagus causing other injury, subsequent encounter, T18.110D — Gastric contents in esophagus causing compression of trachea, subsequent encounter, T18.118D — Gastric contents in esophagus causing other injury, subsequent encounter, T18.120D — Food in esophagus causing compression of trachea, subsequent encounter, T18.128D — Food in esophagus causing other injury, subsequent encounter, T18.190D — Other foreign object in esophagus causing compression of trachea, subsequent encounter, T18.198D — Other foreign object in esophagus causing other injury, subsequent encounter, T18.2XXD — Foreign body in stomach, subsequent encounter, T18.3XXD — Foreign body in small intestine, subsequent encounter, T18.4XXD — Foreign body in colon, subsequent encounter, T18.5XXD — Foreign body in anus and rectum, subsequent encounter, T18.8XXD — Foreign body in other parts of alimentary tract, subsequent encounter, T18.9XXD — Foreign body of alimentary tract, part unspecified, subsequent encounter, T19.0XXD — Foreign body in urethra, subsequent encounter, T19.2XXD — Foreign body in vulva and vagina, subsequent encounter, T19.3XXD — Foreign body in uterus, subsequent encounter, T19.4XXD — Foreign body in penis, subsequent encounter, T19.8XXD — Foreign body in other parts of genitourinary tract, subsequent encounter, T19.9XXD — Foreign body in genitourinary tract, part unspecified, subsequent encounter, +66 more

Contextual Map

Every relationship of T19.1XXD in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run T19.1XXD with these 9 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes (11)

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services[MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1,235 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Nearest codes (28)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Common coding questions

Does T19.1XXD require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category T19.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "T19.1XXD — Foreign body in bladder, subsequent encounter." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/t19.1xxd-foreign-body-in-bladder-subsequent-encounter

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Foreign body in bladder, subsequent encounter

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to T19.1XXD in its code family, with their registry titles.

View all codes in the T19 family