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T84.53 ICD-10-CM Code: Infection and inflammatory reaction due to internal right knee prosthesis

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Infection and inflammatory reaction due to internal right knee prosthesis is a non-billable ICD-10-CM category code (T84.53). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T84.53 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)

Indexed Clinical Terms (1)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Infection, infected, infective (opportunistic), knee NEC (joint), due to internal joint prosthesis, right

Frequently Compared Codes

The official Excludes notes on T84.53 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

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Relationships & Classification

Other codes that name T84.53 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

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.-).

Related Codes

Same condition, opposite side

Same category and title, differing only in which side of the body is affected.

T84.54 — Infection and inflammatory reaction due to internal left knee prosthesis (left)

Contextual Map

Every relationship of T84.53 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]

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

Index entries

  • Infection, infected, infective (opportunistic), knee NEC (joint), due to internal joint prosthesis, right[Index term]

Nearest codes (40)

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

Frequently Asked Questions (FAQ) & Clinical Guidance

Can T84.53 be billed directly?

No. T84.53 (Infection and inflammatory reaction due to internal right knee prosthesis) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does T84.53 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 T84.53 in its code family, with their registry titles.

  • 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
  • T84.52XS — Infection and inflammatory reaction due to internal left hip prosthesis, sequela
  • 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
  • T84.54 — Infection and inflammatory reaction due to internal left knee prosthesis
  • T84.54XA — Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter

View all codes in the T84 family