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T85.111S ICD-10-CM Code: Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequela

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 922 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC (MDC 21)
  • MS-DRG 923 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC (MDC 21)

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

Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequela is a billable ICD-10-CM diagnosis code (T85.111S).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T85.111S in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Breakdown of electrode (lead) for cranial nerve neurostimulators
  • Breakdown of electrode (lead) for gastric neurostimulator
  • Breakdown of electrode (lead) for sacral nerve neurostimulator
  • Breakdown of electrode (lead) for vagal nerve neurostimulators

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 (1)

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

  • Complication (s) (from) (of), electronic stimulator device, peripheral nerve, mechanical, breakdown

Frequently Compared Codes

The official Excludes notes on T85.111S name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Description revised
    Breakdown (mechanical) of implanted electronic neurostimulator (electrode) of peripheral nerve, sequela → Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequela
    FY2017 changes
  • FY2017 — 2016-10-01
    Short description revised
    Brkdwn implanted electronic neurostim of periph nrv, sequela → Breakdown of implnt elec nstim of prph nrv lead, sequela
    FY2017 changes

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.

Relationships & Classification

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 922 (MDC 21), DRG 923 (MDC 21).

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

Clinical classification (AHRQ CCSR):INJ076 — Complication, sequela (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 T85.111S 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)

  • INJ076 — Complication, sequela [CCSR]

Potential MS-DRG

  • DRG 922 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC [MS-DRG]: “OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC (MDC 21)”
  • DRG 923 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC [MS-DRG]: “OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC (MDC 21)”

MDC crossing · procedures (32029)

  • MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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.”
  • 0016070 — Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016071 — Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016072 — Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016073 — Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016074 — Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • and 32024 more

Index entries

  • Complication (s) (from) (of), electronic stimulator device, peripheral nerve, mechanical, breakdown[Index term]

Nearest codes (40)

  • T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
  • T85.02XA — Displacement of ventricular intracranial (communicating) shunt, initial encounter [Sibling]
  • T85.02XD — Displacement of ventricular intracranial (communicating) shunt, subsequent encounter [Sibling]
  • T85.02XS — Displacement of ventricular intracranial (communicating) shunt, sequela [Sibling]
  • T85.03 — Leakage of ventricular intracranial (communicating) shunt [Sibling]
  • T85.03XA — Leakage of ventricular intracranial (communicating) shunt, initial encounter [Sibling]
  • T85.03XD — Leakage of ventricular intracranial (communicating) shunt, subsequent encounter [Sibling]
  • T85.03XS — Leakage of ventricular intracranial (communicating) shunt, sequela [Sibling]
  • and 32 more

Change history (2)

  • FY2017 — Description revised [Change history]
  • and 1 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Does T85.111S require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category T85.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to T85.111S in its code family, with their registry titles.

  • T85.110D — Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), subsequent encounter
  • T85.110S — Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), sequela
  • T85.111 — Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead)
  • T85.111A — Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounter
  • T85.111D — Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounter
  • T85.112 — Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead)
  • T85.112A — Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounter
  • T85.112D — Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounter
  • T85.112S — Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), sequela
  • T85.113 — Breakdown (mechanical) of implanted electronic neurostimulator, generator

View all codes in the T85 family