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T83.9XXA ICD-10-CM Code: Unspecified complication of genitourinary prosthetic device, implant and graft, 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 698 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC (MDC 11)
  • MS-DRG 699 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC (MDC 11)
  • MS-DRG 700 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC (MDC 11)

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

Unspecified complication of genitourinary prosthetic device, implant and graft, initial encounter is a billable ICD-10-CM diagnosis code (T83.9A).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T83.9XXA 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)

Frequently Compared Codes

The official Excludes notes on T83.9XXA name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

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

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 186 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 3 MS-DRGs: DRG 698 (MDC 11), DRG 699 (MDC 11), DRG 700 (MDC 11).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):INJ034 — Complication of genitourinary 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 T83.9XXA 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)

  • INJ034 — Complication of genitourinary 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 698 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC (MDC 11)”
  • DRG 699 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC (MDC 11)”
  • DRG 700 — OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC (MDC 11)”

MDC crossing · procedures (3574)

  • MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract [MDC crossing]: “Diseases and Disorders of the Kidney and Urinary Tract — 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 11, 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 11, 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 11, the procedure side of this code's crossing.” · check together
  • 00HU0MZ — Insertion of Neurostimulator Lead into Spinal Canal, Open Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Open Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • 00HU3MZ — Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach [Same-MDC procedure]: “Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach — grouped in MDC 11, the procedure side of this code's crossing.” · check together
  • and 3569 more

Nearest codes (40)

  • T83 — Complications of genitourinary prosthetic devices, implants and grafts [Sibling]
  • T83.729 — Exposure of other prosthetic materials into organ or tissue [Sibling]
  • T83.729A — Exposure of other prosthetic materials into organ or tissue, initial encounter [Sibling]
  • T83.729D — Exposure of other prosthetic materials into organ or tissue, subsequent encounter [Sibling]
  • T83.729S — Exposure of other prosthetic materials into organ or tissue, sequela [Sibling]
  • T83.79 — Other specified complications due to other genitourinary prosthetic materials [Sibling]
  • T83.79XA — Other specified complications due to other genitourinary prosthetic materials, initial encounter [Sibling]
  • T83.79XD — Other specified complications due to other genitourinary prosthetic materials, subsequent encounter [Sibling]
  • and 32 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Does T83.9XXA 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 T83.9XXA in its code family, with their registry titles.

  • T83.86 — Thrombosis due to genitourinary prosthetic devices, implants and grafts
  • T83.86XA — Thrombosis due to genitourinary prosthetic devices, implants and grafts, initial encounter
  • T83.86XD — Thrombosis due to genitourinary prosthetic devices, implants and grafts, subsequent encounter
  • T83.86XS — Thrombosis due to genitourinary prosthetic devices, implants and grafts, sequela
  • T83.89 — Other specified complication of genitourinary prosthetic devices, implants and grafts
  • T83.89XA — Other specified complication of genitourinary prosthetic devices, implants and grafts, initial encounter
  • T83.89XD — Other specified complication of genitourinary prosthetic devices, implants and grafts, subsequent encounter
  • T83.89XS — Other specified complication of genitourinary prosthetic devices, implants and grafts, sequela
  • T83.9 — Unspecified complication of genitourinary prosthetic device, implant and graft
  • T83.9XXD — Unspecified complication of genitourinary prosthetic device, implant and graft, subsequent encounter

View all codes in the T83 family