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T83.61XD ICD-10-CM Code: Infection and inflammatory reaction due to 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.

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

Infection and inflammatory reaction due to implanted penile prosthesis, subsequent encounter is a billable ICD-10-CM diagnosis code (T83.61D).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T83.61XD in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Infection and inflammatory reaction due to penile prosthesis cylinder
  • Infection and inflammatory reaction due to penile prosthesis pump
  • Infection and inflammatory reaction due to penile prosthesis reservoir

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 to identify infection
  • 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)

Frequently Compared Codes

The official Excludes notes on T83.61XD name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Infection and inflammatory reaction due to implanted penile prosthesis, subsequent encounter
    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

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.

Related Codes

Same injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

T83.61XA — Infection and inflammatory reaction due to implanted penile prosthesis, initial encounter Compare T83.61XD vs T83.61XA →, T83.61XS — Infection and inflammatory reaction due to implanted penile prosthesis, sequela

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Complication of genitourinary device, implant or graft, subsequent encounter).

T83.498D — Other mechanical complication of other prosthetic devices, implants and grafts of genital tract, subsequent encounter, T83.510D — Infection and inflammatory reaction due to cystostomy catheter, subsequent encounter, T83.511D — Infection and inflammatory reaction due to indwelling urethral catheter, subsequent encounter, T83.512D — Infection and inflammatory reaction due to nephrostomy catheter, subsequent encounter, T83.518D — Infection and inflammatory reaction due to other urinary catheter, subsequent encounter, T83.590D — Infection and inflammatory reaction due to implanted urinary neurostimulation device, subsequent encounter, T83.591D — Infection and inflammatory reaction due to implanted urinary sphincter, subsequent encounter, T83.592D — Infection and inflammatory reaction due to indwelling ureteral stent, subsequent encounter, T83.593D — Infection and inflammatory reaction due to other urinary stents, subsequent encounter, T83.598D — Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, subsequent encounter, T83.62XD — Infection and inflammatory reaction due to implanted testicular prosthesis, subsequent encounter, T83.69XD — Infection and inflammatory reaction due to other prosthetic device, implant and graft in genital tract, subsequent encounter, T83.711D — Erosion of implanted vaginal mesh to surrounding organ or tissue, subsequent encounter, T83.712D — Erosion of implanted urethral mesh to surrounding organ or tissue, subsequent encounter, T83.713D — Erosion of implanted urethral bulking agent to surrounding organ or tissue, subsequent encounter, T83.714D — Erosion of implanted ureteral bulking agent to surrounding organ or tissue, subsequent encounter, T83.718D — Erosion of other implanted mesh to organ or tissue, subsequent encounter, T83.719D — Erosion of other prosthetic materials to surrounding organ or tissue, subsequent encounter, T83.721D — Exposure of implanted vaginal mesh into vagina, subsequent encounter, T83.722D — Exposure of implanted urethral mesh into urethra, subsequent encounter, +61 more

Contextual Map

Every relationship of T83.61XD 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

Nearest codes (40)

  • T83 — Complications of genitourinary prosthetic devices, implants and grafts [Sibling]
  • T83.590S — Infection and inflammatory reaction due to implanted urinary neurostimulation device, sequela [Sibling]
  • T83.591 — Infection and inflammatory reaction due to implanted urinary sphincter [Sibling]
  • T83.591A — Infection and inflammatory reaction due to implanted urinary sphincter, initial encounter [Sibling]
  • T83.591D — Infection and inflammatory reaction due to implanted urinary sphincter, subsequent encounter [Sibling]
  • T83.591S — Infection and inflammatory reaction due to implanted urinary sphincter, sequela [Sibling]
  • T83.592 — Infection and inflammatory reaction due to indwelling ureteral stent [Sibling]
  • T83.592A — Infection and inflammatory reaction due to indwelling ureteral stent, initial encounter [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Does T83.61XD 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 T83.61XD in its code family, with their registry titles.

  • T83.598D — Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, subsequent encounter
  • T83.598S — Infection and inflammatory reaction due to other prosthetic device, implant and graft in urinary system, sequela
  • T83.6 — Infection and inflammatory reaction due to prosthetic device, implant and graft in genital tract
  • T83.61 — Infection and inflammatory reaction due to implanted penile prosthesis
  • T83.61XA — Infection and inflammatory reaction due to implanted penile prosthesis, initial encounter
  • T83.61XS — Infection and inflammatory reaction due to implanted penile prosthesis, sequela
  • T83.62 — Infection and inflammatory reaction due to implanted testicular prosthesis
  • T83.62XA — Infection and inflammatory reaction due to implanted testicular prosthesis, initial encounter
  • T83.62XD — Infection and inflammatory reaction due to implanted testicular prosthesis, subsequent encounter
  • T83.62XS — Infection and inflammatory reaction due to implanted testicular prosthesis, sequela

View all codes in the T83 family