T82.09 is the authoritative medical code for Other mechanical complication of heart valve prosthesis. This classification is used in medical billing and clinical recording to specify the clinical criteria for other mechanical complication of heart valve prosthesis (ICD-10-CM T82.09), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Other mechanical complication of heart valve prosthesis is a non-billable ICD-10-CM category code T82.09. A more specific billable subcode must be selected for claims submission. Inclusion terms: Obstruction mechanical of heart valve prosthesis; Perforation of heart valve prosthesis; Protrusion of heart valve prosthesis. Excludes1 (not coded here): mechanical complication of biological heart valve graft T82.22-. Excludes2 (not included here): failure and rejection of transplanted organs and tissue T86.-; any encounters with medical care for postprocedural conditions in which no complications are present, such as:; artificial opening status Z93.-; closure of external stoma Z43.-; fitting and adjustment of external prosthetic device Z44.-; burns and corrosions from local applications and irradiation T20-T32; complications of surgical procedures during pregnancy, childbirth and the puerperium O00-O9A; mechanical complication of respirator ventilator; poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6); postprocedural fever R50.82; specified complications classified elsewhere, such as:; cerebrospinal fluid leak from spinal puncture G97.0; colostomy malfunction K94.0-; disorders of fluid and electrolyte imbalance E86-E87; functional disturbances following cardiac surgery I97.0-I97.1; intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-); ostomy complications (J95.0-, K94.-, N99.5-); postgastric surgery syndromes K91.1; postlaminectomy syndrome NEC M96.1; postmastectomy lymphedema syndrome I97.2; postsurgical blind-loop syndrome K91.2; ventilator associated pneumonia J95.851. 7th character: The appropriate 7th character is to be added to each code from category T82.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T82.09 in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Obstruction mechanical of heart valve prosthesis
- Perforation of heart valve prosthesis
- Protrusion of heart valve prosthesis
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- mechanical complication of biological heart valve graft T82.22-
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- failure and rejection of transplanted organs and tissue T86.-
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status Z93.-
- closure of external stoma Z43.-
- fitting and adjustment of external prosthetic device Z44.-
- burns and corrosions from local applications and irradiation T20-T32
- complications of surgical procedures during pregnancy, childbirth and the puerperium O00-O9A
- mechanical complication of respirator ventilator
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
- postprocedural fever R50.82
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture G97.0
- colostomy malfunction K94.0-
- disorders of fluid and electrolyte imbalance E86-E87
- functional disturbances following cardiac surgery I97.0-I97.1
- intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
- ostomy complications (J95.0-, K94.-, N99.5-)
- postgastric surgery syndromes K91.1
- postlaminectomy syndrome NEC M96.1
- postmastectomy lymphedema syndrome I97.2
- postsurgical blind-loop syndrome K91.2
- ventilator associated pneumonia J95.851
Use Additional Code
Supplementary codes the tabular list directs you to add.
- 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
Frequently Asked Questions (FAQ) & Clinical Guidance
Can T82.09 be billed directly?
No. T82.09 (Other mechanical complication of heart valve prosthesis) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does T82.09 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T82.
What can't be coded together with T82.09?
Per official ICD-10-CM Excludes1 instructions, T82.09 must not be reported together with: mechanical complication of biological heart valve graft (T82.22-).
Can T82.09 be reported alongside related conditions?
Per official ICD-10-CM Excludes2 instructions, T82.09 and the following are not considered part of each other and may both be reported when both conditions are present: failure and rejection of transplanted organs and tissue (T86.-); any encounters with medical care for postprocedural conditions in which no complications are present, such as:; artificial opening status (Z93.-); closure of external stoma (Z43.-).
Is an additional code needed with T82.09?
Use additional code(s) to specify: 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).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T82.09 in its code family, with their registry titles.
- T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts
- T82.0 — Mechanical complication of heart valve prosthesis
- T82.01 — Breakdown (mechanical) of heart valve prosthesis
- T82.01XA — Breakdown (mechanical) of heart valve prosthesis, initial encounter
- T82.01XD — Breakdown (mechanical) of heart valve prosthesis, subsequent encounter
- T82.01XS — Breakdown (mechanical) of heart valve prosthesis, sequela
- T82.02 — Displacement of heart valve prosthesis
- T82.02XA — Displacement of heart valve prosthesis, initial encounter
- T82.02XD — Displacement of heart valve prosthesis, subsequent encounter
- T82.02XS — Displacement of heart valve prosthesis, sequela
View all 40 codes in the T82 family
Indexed Clinical Terms (8)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Complication (s) (from) (of), heart, valve, prosthesis, mechanical
- Complication (s) (from) (of), heart, valve, prosthesis, mechanical, obstruction
- Complication (s) (from) (of), heart, valve, prosthesis, mechanical, perforation
- Complication (s) (from) (of), heart, valve, prosthesis, mechanical, protrusion
- Complication (s) (from) (of), heart, valve, prosthesis, specified type NEC, mechanical
- Malfunction, valve, heart
- Obstruction, obstructed, obstructive, intracardiac ball valve prosthesis
- Variance, lethal ball, prosthetic heart valve