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ICD-10/T84.52XD

T84.52XD ICD-10-CM Code: Infection and inflammatory reaction due to internal left hip 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 internal left hip prosthesis, subsequent encounter is a billable ICD-10-CM diagnosis code (T84.52D).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T84.52XD 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 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

  • 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 T84.52XD 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)

  • INJ071 — Complication of internal orthopedic device or implant, 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)

  • T84 — Complications of internal orthopedic prosthetic devices, implants and grafts [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]
  • T84.490A — Other mechanical complication of muscle and tendon graft, initial encounter [Sibling]
  • T84.490D — Other mechanical complication of muscle and tendon graft, subsequent encounter [Sibling]
  • T84.490S — Other mechanical complication of muscle and tendon graft, sequela [Sibling]
  • T84.498 — Other mechanical complication of other internal orthopedic devices, implants and grafts [Sibling]
  • T84.498A — Other mechanical complication of other internal orthopedic devices, implants and grafts, initial encounter [Sibling]
  • and 32 more

Referenced by Other Codes

Clinical classification (AHRQ CCSR):INJ071 — Complication of internal orthopedic device or implant, 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.

Official ICD-10-CM tabular notes on other codes that name T84.52XD 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 T84.52XD 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 T84.52XD in its code family, with their registry titles.

  • T84.51XA — Infection and inflammatory reaction due to internal right hip prosthesis, initial encounter
  • 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
  • T84.52XS — Infection and inflammatory reaction due to internal left hip prosthesis, sequela
  • T84.53 — Infection and inflammatory reaction due to internal right knee prosthesis
  • T84.53XA — Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter
  • T84.53XD — Infection and inflammatory reaction due to internal right knee prosthesis, subsequent encounter
  • T84.53XS — Infection and inflammatory reaction due to internal right knee prosthesis, sequela

View all codes in the T84 family