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T84.85 ICD-10-CM Code: Stenosis due to internal orthopedic prosthetic devices, implants and grafts

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

Official Registry Overview & Definition

Stenosis due to internal orthopedic prosthetic devices, implants and grafts is a non-billable ICD-10-CM category code (T84.85). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T84.85 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)

Indexed Clinical Terms (11)

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

  • Complication (s) (from) (of), bone, device NEC, stenosis
  • Complication (s) (from) (of), electronic stimulator device, bone, stenosis
  • Complication (s) (from) (of), electronic stimulator device, muscle, stenosis
  • Complication (s) (from) (of), fixation device, internal (orthopedic), specified type NEC, stenosis
  • Complication (s) (from) (of), graft (bypass) (patch), muscle, stenosis
  • Complication (s) (from) (of), graft (bypass) (patch), tendon, stenosis
  • Complication (s) (from) (of), joint prosthesis, internal, specified joint NEC, stenosis
  • Complication (s) (from) (of), orthopedic, device or implant, stenosis
  • Stenosis, stenotic (cicatricial), due to presence of device, implant or graft, fixation, internal NEC (orthopedic)
  • Stenosis, stenotic (cicatricial), due to presence of device, implant or graft, joint prosthesis
  • Stenosis, stenotic (cicatricial), due to presence of device, implant or graft, orthopedic NEC

Frequently Compared Codes

The official Excludes notes on T84.85 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

Official ICD-10-CM tabular notes on other codes that name T84.85 or its code family.

4 Excludes2 notes across 2 chapters: M96 (via T84.-), M96.6 (via T84.-), T80.1 (via T84.8.-), T81.7 (via T84.8.-).

Contextual Map

Every relationship of T84.85 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

  • 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
  • T80.1 — Vascular complications following infusion, transfusion and therapeutic injection [Excludes2](via T84.8.-): “vascular complications specified as due to prosthetic devices, implants and grafts (T82.8-, T83.8-, T84.8-, T85.8-)” · check together
  • T81.7 — Vascular complications following a procedure, not elsewhere classified [Excludes2](via T84.8.-): “embolism due to prosthetic devices, implants and grafts (T82.8-, T83.81, T84.8-, T85.81-)” · check together

Index entries (11)

  • Complication (s) (from) (of), bone, device NEC, stenosis[Index term]
  • Complication (s) (from) (of), electronic stimulator device, bone, stenosis[Index term]
  • Complication (s) (from) (of), electronic stimulator device, muscle, stenosis[Index term]
  • Complication (s) (from) (of), fixation device, internal (orthopedic), specified type NEC, stenosis[Index term]
  • Complication (s) (from) (of), graft (bypass) (patch), muscle, stenosis[Index term]
  • Complication (s) (from) (of), graft (bypass) (patch), tendon, stenosis[Index term]
  • Complication (s) (from) (of), joint prosthesis, internal, specified joint NEC, stenosis[Index term]
  • Complication (s) (from) (of), orthopedic, device or implant, stenosis[Index term]
  • and 3 more

Nearest codes (40)

  • T84 — Complications of internal orthopedic prosthetic devices, implants and grafts [Sibling]
  • T84.69 — Infection and inflammatory reaction due to internal fixation device of other site [Sibling]
  • T84.69XA — Infection and inflammatory reaction due to internal fixation device of other site, initial encounter [Sibling]
  • T84.69XD — Infection and inflammatory reaction due to internal fixation device of other site, subsequent encounter [Sibling]
  • T84.69XS — Infection and inflammatory reaction due to internal fixation device of other site, sequela [Sibling]
  • T84.7 — Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts [Sibling]
  • T84.7XXA — Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, initial encounter [Sibling]
  • T84.7XXD — Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, subsequent encounter [Sibling]
  • and 32 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Can T84.85 be billed directly?

No. T84.85 (Stenosis due to internal orthopedic prosthetic devices, implants and grafts) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does T84.85 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 T84.85 in its code family, with their registry titles.

  • T84.83XS — Hemorrhage due to internal orthopedic prosthetic devices, implants and grafts, sequela
  • T84.84 — Pain due to internal orthopedic prosthetic devices, implants and grafts
  • T84.84XA — Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter
  • T84.84XD — Pain due to internal orthopedic prosthetic devices, implants and grafts, subsequent encounter
  • T84.84XS — Pain due to internal orthopedic prosthetic devices, implants and grafts, sequela
  • T84.85XA — Stenosis due to internal orthopedic prosthetic devices, implants and grafts, initial encounter
  • T84.85XD — Stenosis due to internal orthopedic prosthetic devices, implants and grafts, subsequent encounter
  • T84.85XS — Stenosis due to internal orthopedic prosthetic devices, implants and grafts, sequela
  • T84.86 — Thrombosis due to internal orthopedic prosthetic devices, implants and grafts
  • T84.86XA — Thrombosis due to internal orthopedic prosthetic devices, implants and grafts, initial encounter

View all codes in the T84 family