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T83.018D ICD-10-CM Code: Breakdown (mechanical) of other urinary 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.

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

Breakdown (mechanical) of other urinary catheter, subsequent encounter is a billable ICD-10-CM diagnosis code (T83.018D).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T83.018D in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Breakdown (mechanical) of Hopkins catheter
  • Breakdown (mechanical) of ileostomy catheter
  • Breakdown (mechanical) urostomy catheter

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 (6)

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

  • Breakdown, device, graft or implant, catheter NEC, Hopkins
  • Breakdown, device, graft or implant, catheter NEC, ileostomy
  • Breakdown, device, graft or implant, catheter NEC, urinary NEC
  • Breakdown, device, graft or implant, catheter NEC, urostomy
  • Complication (s) (from) (of), catheter NEC (device), urinary NEC, breakdown
  • Malfunction, catheter device NEC, urinary

Frequently Compared Codes

The official Excludes notes on T83.018D 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
    Breakdown (mechanical) of other indwelling urethral catheter, subsequent encounter → Breakdown (mechanical) of other urinary catheter, subsequent encounter
    FY2017 changes
  • FY2017 — 2016-10-01
    Short description revised
    Breakdown (mechanical) of indwelling urethral catheter, subs → Breakdown (mechanical) of other urinary catheter, subs
    FY2017 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.

Relationships & Classification

Official ICD-10-CM tabular notes on other codes that name T83.018D or its code family.

2 Excludes2 notes across 2 chapters: N99.5 (via T83.0.-), T81.59 (via T83.0.-).

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):INJ070 — Complication of genitourinary 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.

Contextual Map

Every relationship of T83.018D 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 Excludes2 notes

  • N99.5 — Complications of stoma of urinary tract [Excludes2](via T83.0.-): “mechanical complication of urinary catheter (T83.0-)” · check together
  • T81.59 — Other complications of foreign body accidentally left in body following procedure [Excludes2](via T83.0.-): “obstruction or perforation due to prosthetic devices and implants intentionally left in body (T82.0-T82.5, T83.0-T83.4, T83.7, T84.0-T84.4, T85.0-T85.6)” · check together

Clinical classification (CCSR)

  • INJ070 — Complication of genitourinary 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

  • Breakdown, device, graft or implant, catheter NEC, Hopkins[Index term]
  • Breakdown, device, graft or implant, catheter NEC, ileostomy[Index term]
  • Breakdown, device, graft or implant, catheter NEC, urinary NEC[Index term]
  • Breakdown, device, graft or implant, catheter NEC, urostomy[Index term]
  • Complication (s) (from) (of), catheter NEC (device), urinary NEC, breakdown[Index term]
  • Malfunction, catheter device NEC, urinary[Index term]

Nearest codes (40)

  • T83 — Complications of genitourinary prosthetic devices, implants and grafts [Sibling]
  • T83.0 — Mechanical complication of urinary catheter [Sibling]
  • T83.01 — Breakdown (mechanical) of urinary catheter [Sibling]
  • T83.010 — Breakdown (mechanical) of cystostomy catheter [Sibling]
  • T83.010A — Breakdown (mechanical) of cystostomy catheter, initial encounter [Sibling]
  • T83.010D — Breakdown (mechanical) of cystostomy catheter, subsequent encounter [Sibling]
  • T83.010S — Breakdown (mechanical) of cystostomy catheter, sequela [Sibling]
  • T83.011 — Breakdown (mechanical) of indwelling urethral catheter [Sibling]
  • and 32 more

Change history (2)

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

Frequently Asked Questions (FAQ) & Clinical Guidance

Does T83.018D require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category T83.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to T83.018D in its code family, with their registry titles.

  • T83.012A — Breakdown (mechanical) of nephrostomy catheter, initial encounter
  • T83.012D — Breakdown (mechanical) of nephrostomy catheter, subsequent encounter
  • T83.012S — Breakdown (mechanical) of nephrostomy catheter, sequela
  • T83.018 — Breakdown (mechanical) of other urinary catheter
  • T83.018A — Breakdown (mechanical) of other urinary catheter, initial encounter
  • T83.018S — Breakdown (mechanical) of other urinary catheter, sequela
  • T83.02 — Displacement of urinary catheter
  • T83.020 — Displacement of cystostomy catheter
  • T83.020A — Displacement of cystostomy catheter, initial encounter
  • T83.020D — Displacement of cystostomy catheter, subsequent encounter

View all codes in the T83 family