T82.858D ICD-10-CM Code: Stenosis of other vascular prosthetic devices, implants and grafts, 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 T82.858D 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 T82.858D vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T82.858D vs Z93 →
- closure of external stoma (Z43.-) Compare T82.858D vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T82.858D vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T82.858D vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T82.858D 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 T82.858D vs T36 →
- postprocedural fever (R50.82) Compare T82.858D vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T82.858D vs G97.0 →
- colostomy malfunction (K94.0-) Compare T82.858D vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T82.858D vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T82.858D 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 T82.858D vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T82.858D vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T82.858D vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T82.858D vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T82.858D vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T82.858D vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T82.858D 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 — 2016-10-01Description revisedStenosis of vascular prosthetic devices, implants and grafts, subsequent encounter → Stenosis of other vascular prosthetic devices, implants and grafts, subsequent encounterFY2017 changes
- FY2017 — 2016-10-01Short description revisedStenosis of vascular prosth dev/grft, subs → Stenosis of other vascular prosth dev/grft, subsFY2017 changes
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.
Contextual Map
Every relationship of T82.858D 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)
- 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
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]
- T82.847S — 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]
- T82.855 — Stenosis of coronary artery stent [Sibling]
- and 32 more
Change history (2)
- FY2017 — Description revised [Change history]
- and 1 more
Referenced by Other Codes
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.
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.
Official ICD-10-CM tabular notes on other codes that name T82.858D 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
Does T82.858D 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 T82.858D in its code family, with their registry titles.
- 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
- T82.858A — Stenosis of other vascular prosthetic devices, implants and grafts, initial 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
- T82.867D — Thrombosis due to cardiac prosthetic devices, implants and grafts, subsequent encounter
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