T83.410D ICD-10-CM Code: Breakdown (mechanical) of implanted penile prosthesis, 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 T83.410D in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Breakdown (mechanical) of penile prosthesis cylinder
- Breakdown (mechanical) of penile prosthesis pump
- Breakdown (mechanical) of penile prosthesis reservoir
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 T83.410D vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T83.410D vs Z93 →
- closure of external stoma (Z43.-) Compare T83.410D vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T83.410D vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T83.410D vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T83.410D 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 T83.410D vs T36 →
- postprocedural fever (R50.82) Compare T83.410D vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T83.410D vs G97.0 →
- colostomy malfunction (K94.0-) Compare T83.410D vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T83.410D vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T83.410D 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 T83.410D vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T83.410D vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T83.410D vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T83.410D vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T83.410D vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T83.410D vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T83.410D 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 revisedBreakdown (mechanical) of penile (implanted) prosthesis, subsequent encounter → Breakdown (mechanical) of implanted penile prosthesis, subsequent encounterFY2017 changes
- FY2017 — 2016-10-01Short description revisedBreakdown of penile (implanted) prosthesis, subs → Breakdown (mechanical) of implanted penile prosthesis, 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 T83.410D 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]
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, genital NEC, penile prosthesis (cylinder) (implanted) (pump) (reservoir)[Index term]
- Complication (s) (from) (of), prosthetic device or implant, penile, mechanical, breakdown[Index term]
Nearest codes (40)
- T83 — Complications of genitourinary prosthetic devices, implants and grafts [Sibling]
- T83.29XA — Other mechanical complication of graft of urinary organ, initial encounter [Sibling]
- T83.29XD — Other mechanical complication of graft of urinary organ, subsequent encounter [Sibling]
- T83.29XS — Other mechanical complication of graft of urinary organ, sequela [Sibling]
- T83.3 — Mechanical complication of intrauterine contraceptive device [Sibling]
- T83.31 — Breakdown (mechanical) of intrauterine contraceptive device [Sibling]
- T83.31XA — Breakdown (mechanical) of intrauterine contraceptive device, initial encounter [Sibling]
- T83.31XD — Breakdown (mechanical) of intrauterine contraceptive device, subsequent encounter [Sibling]
- and 32 more
Change history (2)
- FY2017 — Description revised [Change history]
- and 1 more
Relationships & Classification
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.
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.
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T83.410D 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 T83.410D in its code family, with their registry titles.
- T83.39XS — Other mechanical complication of intrauterine contraceptive device, sequela
- T83.4 — Mechanical complication of other prosthetic devices, implants and grafts of genital tract
- T83.41 — Breakdown (mechanical) of other prosthetic devices, implants and grafts of genital tract
- T83.410 — Breakdown (mechanical) of implanted penile prosthesis
- T83.410A — Breakdown (mechanical) of implanted penile prosthesis, initial encounter
- T83.410S — Breakdown (mechanical) of implanted penile prosthesis, sequela
- T83.411 — Breakdown (mechanical) of implanted testicular prosthesis
- T83.411A — Breakdown (mechanical) of implanted testicular prosthesis, initial encounter
- T83.411D — Breakdown (mechanical) of implanted testicular prosthesis, subsequent encounter
- T83.411S — Breakdown (mechanical) of implanted testicular prosthesis, sequela
Indexed Clinical Terms (2)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Breakdown, device, graft or implant, genital NEC, penile prosthesis (cylinder) (implanted) (pump) (reservoir)
- Complication (s) (from) (of), prosthetic device or implant, penile, mechanical, breakdown