T82.49XD ICD-10-CM Code: Other complication of vascular dialysis catheter, subsequent 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 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
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
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T82.49XD in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Obstruction (mechanical) of vascular dialysis catheter
- Perforation of vascular dialysis catheter
- Protrusion of vascular dialysis catheter
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).
- mechanical complication of intraperitoneal dialysis catheter (T85.62) Compare T82.49XD vs T85.62 →
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.-) Compare T82.49XD vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T82.49XD vs Z93 →
- closure of external stoma (Z43.-) Compare T82.49XD vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T82.49XD vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T82.49XD vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T82.49XD vs O00 →
- mechanical complication of respirator ventilator
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6) Compare T82.49XD vs T36 →
- postprocedural fever (R50.82) Compare T82.49XD vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T82.49XD vs G97.0 →
- colostomy malfunction (K94.0-) Compare T82.49XD vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T82.49XD vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T82.49XD vs I97.0 →
- 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.-) Compare T82.49XD vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T82.49XD vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T82.49XD vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T82.49XD vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T82.49XD vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T82.49XD vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T82.49XD vs J95.851 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
Frequently Compared Codes
The official Excludes notes on T82.49XD 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
- 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.
Relationships & Classification
Other codes that name T82.49XD 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)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
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):INJ069 — Complication of cardiovascular device, implant or graft, 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.
T82.49XA — Other complication of vascular dialysis catheter, initial encounter Compare T82.49XD vs T82.49XA →, T82.49XS — Other complication of vascular dialysis catheter, sequela
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Complication of cardiovascular device, implant or graft, subsequent encounter).
T82.338D — Leakage of other vascular grafts, subsequent encounter, T82.339D — Leakage of unspecified vascular graft, subsequent encounter, T82.390D — Other mechanical complication of aortic (bifurcation) graft (replacement), subsequent encounter, T82.391D — Other mechanical complication of carotid arterial graft (bypass), subsequent encounter, T82.392D — Other mechanical complication of femoral arterial graft (bypass), subsequent encounter, T82.398D — Other mechanical complication of other vascular grafts, subsequent encounter, T82.399D — Other mechanical complication of unspecified vascular grafts, subsequent encounter, T82.41XD — Breakdown (mechanical) of vascular dialysis catheter, subsequent encounter, T82.42XD — Displacement of vascular dialysis catheter, subsequent encounter, T82.43XD — Leakage of vascular dialysis catheter, subsequent encounter, T82.510D — Breakdown (mechanical) of surgically created arteriovenous fistula, subsequent encounter, T82.511D — Breakdown (mechanical) of surgically created arteriovenous shunt, subsequent encounter, T82.512D — Breakdown (mechanical) of artificial heart, subsequent encounter, T82.513D — Breakdown (mechanical) of balloon (counterpulsation) device, subsequent encounter, T82.514D — Breakdown (mechanical) of infusion catheter, subsequent encounter, T82.515D — Breakdown (mechanical) of umbrella device, subsequent encounter, T82.518D — Breakdown (mechanical) of other cardiac and vascular devices and implants, subsequent encounter, T82.519D — Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, subsequent encounter, T82.520D — Displacement of surgically created arteriovenous fistula, subsequent encounter, T82.521D — Displacement of surgically created arteriovenous shunt, subsequent encounter, +78 more
Contextual Map
Every relationship of T82.49XD 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)
- INJ069 — Complication of cardiovascular device, implant or graft, subsequent encounter [CCSR]
Potential MS-DRG
- DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
- DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”
MDC crossing · procedures (1235)
- 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.”
- F003GKZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GMZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GPZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GYZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GZZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- and 1230 more
Nearest codes (40)
- T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts [Sibling]
- T82.398S — Other mechanical complication of other vascular grafts, sequela [Sibling]
- T82.399 — Other mechanical complication of unspecified vascular grafts [Sibling]
- T82.399A — Other mechanical complication of unspecified vascular grafts, initial encounter [Sibling]
- T82.399D — Other mechanical complication of unspecified vascular grafts, subsequent encounter [Sibling]
- T82.399S — Other mechanical complication of unspecified vascular grafts, sequela [Sibling]
- T82.4 — Mechanical complication of vascular dialysis catheter [Sibling]
- T82.41 — Breakdown (mechanical) of vascular dialysis catheter [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T82.49XD 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 T82.49XD in its code family, with their registry titles.
- T82.43XA — Leakage of vascular dialysis catheter, initial encounter
- 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
- T82.49XS — Other complication of vascular dialysis catheter, sequela
- T82.5 — Mechanical complication of other cardiac and vascular devices and implants
- T82.51 — Breakdown (mechanical) of other cardiac and vascular devices and implants
- T82.510 — Breakdown (mechanical) of surgically created arteriovenous fistula
- T82.510A — Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter