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T82.858A ICD-10-CM Code: Stenosis of other vascular prosthetic devices, implants and grafts, 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 314 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC (MDC 05)
  • MS-DRG 315 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC (MDC 05)
  • MS-DRG 316 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC (MDC 05)

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

Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter is a billable ICD-10-CM diagnosis code (T82.858A).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T82.858A 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.

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)

Indexed Clinical Terms (14)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Complication (s) (from) (of), arteriovenous, fistula, surgically created, stenosis
  • Complication (s) (from) (of), arteriovenous, shunt, surgically created, stenosis
  • Complication (s) (from) (of), balloon implant or device, vascular (counterpulsation), stenosis
  • Complication (s) (from) (of), catheter NEC (device), dialysis (vascular), stenosis
  • Complication (s) (from) (of), catheter NEC (device), intravenous infusion, stenosis
  • Complication (s) (from) (of), extremity arterygraft (bypass), stenosis
  • Complication (s) (from) (of), graft (bypass) (patch), vascular, stenosis
  • Complication (s) (from) (of), umbrella device, vascular, stenosis
  • Complication (s) (from) (of), vascular, device or implant, stenosis
  • Complication (s) (from) (of), vascular, graft, stenosis
  • Stenosis, stenotic (cicatricial), due to presence of device, implant or graft, arterial graft NEC
  • Stenosis, stenotic (cicatricial), due to presence of device, implant or graft, catheter, dialysis (renal)
  • Stenosis, stenotic (cicatricial), due to presence of device, implant or graft, catheter, infusion NEC
  • Stenosis, stenotic (cicatricial), due to presence of device, implant or graft, vascular NEC

Frequently Compared Codes

The official Excludes notes on T82.858A name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Description revised
    Stenosis of vascular prosthetic devices, implants and grafts, initial encounter → Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter
    FY2017 changes
  • FY2017 — 2016-10-01
    Short description revised
    Stenosis of vascular prosth dev/grft, init → Stenosis of other vascular prosth dev/grft, init
    FY2017 changes

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

Official ICD-10-CM tabular notes on other codes that name T82.858A 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.-).

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 213 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 3 MS-DRGs: DRG 314 (MDC 05), DRG 315 (MDC 05), DRG 316 (MDC 05).

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.

Contextual Map

Every relationship of T82.858A 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

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 314 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC [MS-DRG]: “OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC (MDC 05)”
  • DRG 315 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC [MS-DRG]: “OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC (MDC 05)”
  • DRG 316 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC (MDC 05)”

MDC crossing · procedures (17209)

  • MDC 05 — Diseases and Disorders of the Circulatory System [MDC crossing]: “Diseases and Disorders of the Circulatory System — 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 05, 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 05, 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 05, the procedure side of this code's crossing.” · check together
  • 015K0ZZ — Destruction of Head and Neck Sympathetic Nerve, Open Approach [Same-MDC procedure]: “Destruction of Head and Neck Sympathetic Nerve, Open Approach — grouped in MDC 05, the procedure side of this code's crossing.” · check together
  • 015K3ZZ — Destruction of Head and Neck Sympathetic Nerve, Percutaneous Approach [Same-MDC procedure]: “Destruction of Head and Neck Sympathetic Nerve, Percutaneous Approach — grouped in MDC 05, the procedure side of this code's crossing.” · check together
  • and 17204 more

Index entries (14)

  • Complication (s) (from) (of), arteriovenous, fistula, surgically created, stenosis[Index term]
  • Complication (s) (from) (of), arteriovenous, shunt, surgically created, stenosis[Index term]
  • Complication (s) (from) (of), balloon implant or device, vascular (counterpulsation), stenosis[Index term]
  • Complication (s) (from) (of), catheter NEC (device), dialysis (vascular), stenosis[Index term]
  • Complication (s) (from) (of), catheter NEC (device), intravenous infusion, stenosis[Index term]
  • Complication (s) (from) (of), extremity arterygraft (bypass), stenosis[Index term]
  • Complication (s) (from) (of), graft (bypass) (patch), vascular, stenosis[Index term]
  • Complication (s) (from) (of), umbrella device, vascular, stenosis[Index term]
  • and 6 more

Nearest codes (40)

  • T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts [Sibling]
  • T82.847D — Pain due to cardiac prosthetic devices, implants and grafts, subsequent encounter [Sibling]
  • T82.847S — Pain due to cardiac prosthetic devices, implants and grafts, sequela [Sibling]
  • T82.848 — Pain due to vascular prosthetic devices, implants and grafts [Sibling]
  • T82.848A — Pain due to vascular prosthetic devices, implants and grafts, initial encounter [Sibling]
  • T82.848D — Pain due to vascular prosthetic devices, implants and grafts, subsequent encounter [Sibling]
  • T82.848S — Pain due to vascular prosthetic devices, implants and grafts, sequela [Sibling]
  • T82.85 — Stenosis due to cardiac and vascular prosthetic devices, implants and grafts [Sibling]
  • and 32 more

Change history (2)

  • FY2017 — Description revised [Change history]
  • and 1 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Does T82.858A 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 T82.858A in its code family, with their registry titles.

  • T82.857 — Stenosis of other cardiac prosthetic devices, implants and grafts
  • T82.857A — Stenosis of other cardiac prosthetic devices, implants and grafts, initial encounter
  • T82.857D — Stenosis of other cardiac prosthetic devices, implants and grafts, subsequent encounter
  • T82.857S — Stenosis of other cardiac prosthetic devices, implants and grafts, sequela
  • T82.858 — Stenosis of other vascular prosthetic devices, implants and grafts
  • T82.858D — Stenosis of other vascular prosthetic devices, implants and grafts, subsequent encounter
  • T82.858S — Stenosis of other vascular prosthetic devices, implants and grafts, sequela
  • T82.86 — Thrombosis of cardiac and vascular prosthetic devices, implants and grafts
  • T82.867 — Thrombosis due to cardiac prosthetic devices, implants and grafts
  • T82.867A — Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter

View all codes in the T82 family