Skip to main content

T82.43XA ICD-10-CM Code: Leakage of vascular dialysis catheter, initial encounter

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

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 673 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC (MDC 11)
  • MS-DRG 674 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC (MDC 11)
  • MS-DRG 675 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC (MDC 11)
  • MS-DRG 698 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC (MDC 11)
  • MS-DRG 699 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC (MDC 11)
  • MS-DRG 700 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC (MDC 11)

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.

Official Registry Overview & Definition

Leakage of vascular dialysis catheter, initial encounter is a billable ICD-10-CM diagnosis code (T82.43A).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T82.43XA in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

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 for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • Use additional code(s) to identify the specified condition resulting from the complication
  • Use additional code to identify devices involved and details of circumstances (Y62-Y82)

Frequently Compared Codes

The official Excludes notes on T82.43XA name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

Verify Before Coding

  • CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

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

Relationships & Classification

Other codes that name T82.43XA 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.

3 Excludes1 notes across 2 chapters: T85.611 (via T82.4.-), T85.621 (via T82.4.-), Z97 (via T82.-).

4 Excludes2 notes across 2 chapters: T81 (via T82.-), T88 (via T82.-), Z95 (via T82.-), Z96 (via T82.-).

Potential MS-DRG Relationships (FY2026)

CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 93 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 6 MS-DRGs: DRG 673 (MDC 11), DRG 674 (MDC 11), DRG 675 (MDC 11), DRG 698 (MDC 11), DRG 699 (MDC 11), DRG 700 (MDC 11).

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

Clinical classification (AHRQ CCSR):INJ033 — Complication of cardiovascular device, implant or graft, initial 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 clinical process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

T82.332A — Leakage of femoral arterial graft (bypass), initial encounter, T82.338A — Leakage of other vascular grafts, initial encounter, T82.339A — Leakage of unspecified vascular graft, initial encounter, T82.390A — Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter, T82.391A — Other mechanical complication of carotid arterial graft (bypass), initial encounter, T82.392A — Other mechanical complication of femoral arterial graft (bypass), initial encounter, T82.398A — Other mechanical complication of other vascular grafts, initial encounter, T82.399A — Other mechanical complication of unspecified vascular grafts, initial encounter, T82.41XA — Breakdown (mechanical) of vascular dialysis catheter, initial encounter, T82.42XA — Displacement of vascular dialysis catheter, initial encounter, T82.49XA — Other complication of vascular dialysis catheter, initial encounter, T82.510A — Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter, T82.511A — Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter, T82.512A — Breakdown (mechanical) of artificial heart, initial encounter, T82.513A — Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter, T82.514A — Breakdown (mechanical) of infusion catheter, initial encounter, T82.515A — Breakdown (mechanical) of umbrella device, initial encounter, T82.518A — Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter, T82.519A — Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, initial encounter, T82.520A — Displacement of surgically created arteriovenous fistula, initial encounter, +192 more

Same injury, other encounter phase

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

T82.43XD — Leakage of vascular dialysis catheter, subsequent encounter Compare T82.43XA vs T82.43XD →, T82.43XS — Leakage of vascular dialysis catheter, sequela Compare T82.43XA vs T82.43XS →

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Complication of cardiovascular device, implant or graft, initial encounter).

T82.332A — Leakage of femoral arterial graft (bypass), initial encounter, T82.338A — Leakage of other vascular grafts, initial encounter, T82.339A — Leakage of unspecified vascular graft, initial encounter, T82.390A — Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter, T82.391A — Other mechanical complication of carotid arterial graft (bypass), initial encounter, T82.392A — Other mechanical complication of femoral arterial graft (bypass), initial encounter, T82.398A — Other mechanical complication of other vascular grafts, initial encounter, T82.399A — Other mechanical complication of unspecified vascular grafts, initial encounter, T82.41XA — Breakdown (mechanical) of vascular dialysis catheter, initial encounter, T82.42XA — Displacement of vascular dialysis catheter, initial encounter, T82.49XA — Other complication of vascular dialysis catheter, initial encounter, T82.510A — Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter, T82.511A — Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter, T82.512A — Breakdown (mechanical) of artificial heart, initial encounter, T82.513A — Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter, T82.514A — Breakdown (mechanical) of infusion catheter, initial encounter, T82.515A — Breakdown (mechanical) of umbrella device, initial encounter, T82.518A — Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter, T82.519A — Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, initial encounter, T82.520A — Displacement of surgically created arteriovenous fistula, initial encounter, +78 more

Contextual Map

Every relationship of T82.43XA 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.

Hierarchy

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
  • T80-T88 — Complications of surgical and medical care, not elsewhere classified [Hierarchy]

Referenced by Excludes1 notes

  • T85.611 — Breakdown (mechanical) of intraperitoneal dialysis catheter [Excludes1](via T82.4.-): “mechanical complication of vascular dialysis catheter (T82.4-)” · check together
  • T85.621 — Displacement of intraperitoneal dialysis catheter [Excludes1](via T82.4.-): “mechanical complication of vascular dialysis catheter (T82.4-)” · check together
  • Z97 — Presence of other devices [Excludes1](via T82.-): “complications of internal prosthetic devices, implants and grafts (T82-T85)” · check together

Referenced by Excludes2 notes

  • T81 — Complications of procedures, not elsewhere classified [Excludes2](via T82.-): “complication of prosthetic devices, implants and grafts (T82-T85)” · check together
  • T88 — Other complications of surgical and medical care, not elsewhere classified [Excludes2](via T82.-): “complications of devices, implants and grafts (T82-T85)” · check together
  • Z95 — Presence of cardiac and vascular implants and grafts [Excludes2](via T82.-): “complications of cardiac and vascular devices, implants and grafts (T82.-)” · check together
  • Z96 — Presence of other functional implants [Excludes2](via T82.-): “complications of internal prosthetic devices, implants and grafts (T82-T85)” · check together

Clinical classification (CCSR)

  • INJ033 — Complication of cardiovascular device, implant or graft, initial encounter [CCSR]

Potential MS-DRG

  • CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”
  • DRG 673 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC (MDC 11)”
  • DRG 674 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC (MDC 11)”
  • DRG 675 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC (MDC 11)”
  • DRG 698 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC (MDC 11)”
  • DRG 699 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC (MDC 11)”
  • DRG 700 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC (MDC 11)”

MDC crossing · procedures (3574)

  • MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract [MDC crossing]: “Diseases and Disorders of the Kidney and Urinary Tract — 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.”
  • 00HE0MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HE3MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HE4MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HU0MZ — Insertion of Neurostimulator Lead into Spinal Canal, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Open Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HU3MZ — Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • and 3569 more

Nearest codes (40)

  • T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts [Sibling]
  • T82.392D — Other mechanical complication of femoral arterial graft (bypass), subsequent encounter [Sibling]
  • T82.392S — Other mechanical complication of femoral arterial graft (bypass), sequela [Sibling]
  • T82.398 — Other mechanical complication of other vascular grafts [Sibling]
  • T82.398A — Other mechanical complication of other vascular grafts, initial encounter [Sibling]
  • T82.398D — Other mechanical complication of other vascular grafts, subsequent encounter [Sibling]
  • T82.398S — Other mechanical complication of other vascular grafts, sequela [Sibling]
  • T82.399 — Other mechanical complication of unspecified vascular grafts [Sibling]
  • and 32 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Does T82.43XA require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category T82.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to T82.43XA in its code family, with their registry titles.

  • T82.42 — Displacement of vascular dialysis catheter
  • T82.42XA — Displacement of vascular dialysis catheter, initial encounter
  • T82.42XD — Displacement of vascular dialysis catheter, subsequent encounter
  • T82.42XS — Displacement of vascular dialysis catheter, sequela
  • T82.43 — Leakage of vascular dialysis catheter
  • T82.43XD — Leakage of vascular dialysis catheter, subsequent encounter
  • T82.43XS — Leakage of vascular dialysis catheter, sequela
  • T82.49 — Other complication of vascular dialysis catheter
  • T82.49XA — Other complication of vascular dialysis catheter, initial encounter
  • T82.49XD — Other complication of vascular dialysis catheter, subsequent encounter

View all codes in the T82 family