T82.85 — Stenosis due to cardiac and vascular prosthetic devices, implants and grafts

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Stenosis due to cardiac and vascular prosthetic devices, implants and grafts is a non-billable ICD-10-CM category code (T82.85). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T82.85 in the official ICD-10-CM tabular list.

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 T82.85 vs T86 →
any encounters with medical care for postprocedural conditions in which no complications are present, such as:
artificial opening status (Z93.-) Compare T82.85 vs Z93 →
closure of external stoma (Z43.-) Compare T82.85 vs Z43 →
fitting and adjustment of external prosthetic device (Z44.-) Compare T82.85 vs Z44 →
burns and corrosions from local applications and irradiation (T20-T32) Compare T82.85 vs T20 →
complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T82.85 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 T82.85 vs T36 →
postprocedural fever (R50.82) Compare T82.85 vs R50.82 →
specified complications classified elsewhere, such as:
cerebrospinal fluid leak from spinal puncture (G97.0) Compare T82.85 vs G97.0 →
colostomy malfunction (K94.0-) Compare T82.85 vs K94.0 →
disorders of fluid and electrolyte imbalance (E86-E87) Compare T82.85 vs E86 →
functional disturbances following cardiac surgery (I97.0-I97.1) Compare T82.85 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 T82.85 vs D78 →
ostomy complications (J95.0-, K94.-, N99.5-) Compare T82.85 vs J95.0 →
postgastric surgery syndromes (K91.1) Compare T82.85 vs K91.1 →
postlaminectomy syndrome NEC (M96.1) Compare T82.85 vs M96.1 →
postmastectomy lymphedema syndrome (I97.2) Compare T82.85 vs I97.2 →
postsurgical blind-loop syndrome (K91.2) Compare T82.85 vs K91.2 →
ventilator associated pneumonia (J95.851) Compare T82.85 vs J95.851 →

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)

Change history

FY2017 — 2016-10-01
Description revised
Stenosis of cardiac and vascular prosthetic devices, implants and grafts → Stenosis due to cardiac and vascular prosthetic devices, implants and grafts
FY2017 changes
FY2017 — 2016-10-01
Short description revised
Stenosis of cardiac and vascular prosth dev/grft → Stenosis due to cardiac and vascular prosth dev/grft
FY2017 changes

Verify Before Coding

Not billable as written — a more specific code is required: T82.855A, T82.855D, T82.855S, T82.856A, T82.856D.
Requires a 7th character. "The appropriate 7th character is to be added to each code from category T82" Options: T82.855A, T82.855D, T82.855S, T82.856A, T82.856D, T82.856S

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

Contextual Map

Every relationship of T82.85 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]

Referenced by Excludes1 notes

I70.3 — Atherosclerosis of unspecified type of bypass graft(s) of the extremities [Excludes1](via T82.8.-): “embolism or thrombus of bypass graft(s) of extremities (T82.8-)” · 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

I25.710 — Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris [Excludes2](via T82.8.-): “embolism or thrombus of coronary artery bypass graft(s) (T82.8-)” · check together
I26 — Pulmonary embolism [Excludes2](via T82.8.-): “pulmonary embolism due to complications of surgical and medical care (T80.0, T81.7-, T82.8-)” · check together
T80.1 — Vascular complications following infusion, transfusion and therapeutic injection [Excludes2](via T82.8.-): “vascular complications specified as due to prosthetic devices, implants and grafts (T82.8-, T83.8-, T84.8-, T85.8-)” · check together
T81 — Complications of procedures, not elsewhere classified [Excludes2](via T82.-): “complication of prosthetic devices, implants and grafts (T82-T85)” · check together
T81.7 — Vascular complications following a procedure, not elsewhere classified [Excludes2](via T82.8.-): “embolism due to prosthetic devices, implants and grafts (T82.8-, T83.81, T84.8-, T85.81-)” · 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

Nearest codes (40)

T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts [Sibling]
T82.828D — Fibrosis due to vascular prosthetic devices, implants and grafts, subsequent encounter [Sibling]
T82.828S — Fibrosis due to vascular prosthetic devices, implants and grafts, sequela [Sibling]
T82.83 — Hemorrhage due to cardiac and vascular prosthetic devices, implants and grafts [Sibling]
T82.837 — Hemorrhage due to cardiac prosthetic devices, implants and grafts [Sibling]
T82.837A — Hemorrhage due to cardiac prosthetic devices, implants and grafts, initial encounter [Sibling]
T82.837D — Hemorrhage due to cardiac prosthetic devices, implants and grafts, subsequent encounter [Sibling]
T82.837S — Hemorrhage due to cardiac prosthetic devices, implants and grafts, sequela [Sibling]
and 32 more

Change history (2)

FY2017 — Description revised [Change history]
and 1 more

Referenced by Other Codes

Official ICD-10-CM tabular notes on other codes that name T82.85 or its code family.

2 Excludes1 notes across 2 chapters: I70.3 (via T82.8.-), Z97 (via T82.-).

8 Excludes2 notes across 3 chapters: I25.710 (via T82.8.-), I26 (via T82.8.-), T80.1 (via T82.8.-), T81 (via T82.-), T81.7 (via T82.8.-), T88 (via T82.-), Z95 (via T82.-), Z96 (via T82.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Can T82.85 be billed directly?

No. T82.85 (Stenosis due to cardiac and vascular prosthetic devices, implants and grafts) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does T82.85 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 T82.85 in its code family, with their registry titles.

T82.847S — Pain due to cardiac prosthetic devices, implants and grafts, sequela
T82.848 — Pain due to vascular prosthetic devices, implants and grafts
T82.848A — Pain due to vascular prosthetic devices, implants and grafts, initial encounter
T82.848D — Pain due to vascular prosthetic devices, implants and grafts, subsequent encounter
T82.848S — Pain due to vascular prosthetic devices, implants and grafts, sequela
T82.855 — Stenosis of coronary artery stent
T82.855A — Stenosis of coronary artery stent, initial encounter
T82.855D — Stenosis of coronary artery stent, subsequent encounter
T82.855S — Stenosis of coronary artery stent, sequela
T82.856 — Stenosis of peripheral vascular stent

View all codes in the T82 family

T82.85 ICD-10-CM Code: Stenosis due to cardiac and vascular prosthetic devices, implants and grafts