T82.855S ICD-10-CM Code: Stenosis of coronary artery stent, sequela
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 922 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC (MDC 21)
- MS-DRG 923 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC (MDC 21)
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 T82.855S in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- In-stent stenosis (restenosis) of coronary artery stent
- Restenosis of coronary artery stent
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 T82.855S vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T82.855S vs Z93 →
- closure of external stoma (Z43.-) Compare T82.855S vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T82.855S vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T82.855S vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T82.855S 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 T82.855S vs T36 →
- postprocedural fever (R50.82) Compare T82.855S vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T82.855S vs G97.0 →
- colostomy malfunction (K94.0-) Compare T82.855S vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T82.855S vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T82.855S 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 T82.855S vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T82.855S vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T82.855S vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T82.855S vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T82.855S vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T82.855S vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T82.855S 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 — 2016-10-01Added to the code setStenosis of coronary artery stent, sequelaFY2017 changes
Verify Before Coding
- Billable — reportable as written.
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 T82.855S 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
- 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
Referenced by Code Also instructions
- I21.A9 — Other myocardial infarction type [Code Also](via T82.855.-): “(acute) stent stenosis (T82.855-)” · check together
Clinical classification (CCSR)
- INJ076 — Complication, sequela [CCSR]
Potential MS-DRG
- DRG 922 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC [MS-DRG]: “OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC (MDC 21)”
- DRG 923 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC [MS-DRG]: “OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC (MDC 21)”
MDC crossing · procedures (32029)
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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.”
- 0016070 — Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016071 — Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016072 — Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016073 — Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- 0016074 — Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
- and 32024 more
Index entries
- Restenosis, stent, vascular, end stent, within the stent, coronary[Index term]
- Restenosis, stent, vascular, in stent, coronary vessel[Index term]
- Stenosis, stenotic (cicatricial), artery NEC, stent, coronary[Index term]
- Stenosis, stenotic (cicatricial), stent, vascular, end stent, within the stent, coronary[Index term]
- Stenosis, stenotic (cicatricial), stent, vascular, in stent, coronary vessel[Index term]
Nearest codes (40)
- T82 — Complications of cardiac and vascular 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]
- T82.838 — Hemorrhage due to vascular prosthetic devices, implants and grafts [Sibling]
- T82.838A — Hemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter [Sibling]
- T82.838D — Hemorrhage due to vascular prosthetic devices, implants and grafts, subsequent encounter [Sibling]
- T82.838S — Hemorrhage due to vascular prosthetic devices, implants and grafts, sequela [Sibling]
- and 32 more
Change history
- FY2017 — Added to the code set [Change history]
Referenced by Other Codes
Clinical classification (AHRQ CCSR):INJ076 — Complication, sequela (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
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 922 (MDC 21), DRG 923 (MDC 21).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name T82.855S 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.-).
1 Code Also instructions: I21.A9 (via T82.855.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T82.855S 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 T82.855S in its code family, with their registry titles.
- T82.848S — Pain due to vascular prosthetic devices, implants and grafts, sequela
- T82.85 — Stenosis due to cardiac and vascular prosthetic devices, implants and grafts
- 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
- T82.856 — Stenosis of peripheral vascular stent
- T82.856A — Stenosis of peripheral vascular stent, initial encounter
- T82.856D — Stenosis of peripheral vascular stent, subsequent encounter
- T82.856S — Stenosis of peripheral vascular stent, sequela
- T82.857 — Stenosis of other cardiac prosthetic devices, implants and grafts
Indexed Clinical Terms (5)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Restenosis, stent, vascular, end stent, within the stent, coronary
- Restenosis, stent, vascular, in stent, coronary vessel
- Stenosis, stenotic (cicatricial), artery NEC, stent, coronary
- Stenosis, stenotic (cicatricial), stent, vascular, end stent, within the stent, coronary
- Stenosis, stenotic (cicatricial), stent, vascular, in stent, coronary vessel