T84.51XA ICD-10-CM Code: Infection and inflammatory reaction due to internal right hip prosthesis, 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 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)
- MS-DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)
- MS-DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)
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 T84.51XA 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 tissues (T86.-) Compare T84.51XA vs T86 →
- fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6) Compare T84.51XA vs M96.6 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T84.51XA vs Z93 →
- closure of external stoma (Z43.-) Compare T84.51XA vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T84.51XA vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T84.51XA vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T84.51XA 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 T84.51XA vs T36 →
- postprocedural fever (R50.82) Compare T84.51XA vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T84.51XA vs G97.0 →
- colostomy malfunction (K94.0-) Compare T84.51XA vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T84.51XA vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T84.51XA 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 T84.51XA vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T84.51XA vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T84.51XA vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T84.51XA vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T84.51XA vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T84.51XA vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T84.51XA vs J95.851 →
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)
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.
Contextual Map
Every relationship of T84.51XA 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
- M00 — Pyogenic arthritis [Excludes2](via T84.5.-): “infection and inflammatory reaction due to internal joint prosthesis (T84.5-)” · check together
- M96 — Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified [Excludes2](via T84.-): “complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)” · check together
- M96.6 — Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate [Excludes2](via T84.-): “complication of internal orthopedic devices, implants or grafts (T84.-)” · check together
- T80.2 — Infections following infusion, transfusion and therapeutic injection [Excludes2](via T84.5.-): “infections specified as due to prosthetic devices, implants and grafts (T82.6-T82.7, T83.5-T83.6, T84.5-T84.7, T85.7)” · check together
- T81.4 — Infection following a procedure [Excludes2](via T84.5.-): “infection due to prosthetic devices, implants and grafts (T82.6-T82.7, T83.5-T83.6, T84.5-T84.7, T85.7)” · check together
Clinical classification (CCSR)
- INJ035 — Complication of internal orthopedic device or implant, 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 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)”
- DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)”
- DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)”
MDC crossing · procedures (18508)
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue [MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — 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.”
- 005T0ZZ — Destruction of Spinal Meninges, Open Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T3ZZ — Destruction of Spinal Meninges, Percutaneous Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T4ZZ — Destruction of Spinal Meninges, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Endoscopic Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0Z3 — Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0ZZ — Destruction of Cervical Spinal Cord, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- and 18503 more
Nearest codes (40)
- T84 — Complications of internal orthopedic prosthetic devices, implants and grafts [Sibling]
- T84.420S — Displacement of muscle and tendon graft, sequela [Sibling]
- T84.428 — Displacement of other internal orthopedic devices, implants and grafts [Sibling]
- T84.428A — Displacement of other internal orthopedic devices, implants and grafts, initial encounter [Sibling]
- T84.428D — Displacement of other internal orthopedic devices, implants and grafts, subsequent encounter [Sibling]
- T84.428S — Displacement of other internal orthopedic devices, implants and grafts, sequela [Sibling]
- T84.49 — Other mechanical complication of other internal orthopedic devices, implants and grafts [Sibling]
- T84.490 — Other mechanical complication of muscle and tendon graft [Sibling]
- and 32 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):INJ035 — Complication of internal orthopedic device or implant, 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.
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 262 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 3 MS-DRGs: DRG 559 (MDC 08), DRG 560 (MDC 08), DRG 561 (MDC 08).
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 T84.51XA or its code family.
5 Excludes2 notes across 2 chapters: M00 (via T84.5.-), M96 (via T84.-), M96.6 (via T84.-), T80.2 (via T84.5.-), T81.4 (via T84.5.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T84.51XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T84.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T84.51XA in its code family, with their registry titles.
- T84.50 — Infection and inflammatory reaction due to unspecified internal joint prosthesis
- T84.50XA — Infection and inflammatory reaction due to unspecified internal joint prosthesis, initial encounter
- T84.50XD — Infection and inflammatory reaction due to unspecified internal joint prosthesis, subsequent encounter
- T84.50XS — Infection and inflammatory reaction due to unspecified internal joint prosthesis, sequela
- T84.51 — Infection and inflammatory reaction due to internal right hip prosthesis
- T84.51XD — Infection and inflammatory reaction due to internal right hip prosthesis, subsequent encounter
- T84.51XS — Infection and inflammatory reaction due to internal right hip prosthesis, sequela
- T84.52 — Infection and inflammatory reaction due to internal left hip prosthesis
- T84.52XA — Infection and inflammatory reaction due to internal left hip prosthesis, initial encounter
- T84.52XD — Infection and inflammatory reaction due to internal left hip prosthesis, subsequent encounter