T85.29XS ICD-10-CM Code: Other mechanical complication of intraocular lens, 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
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T85.29XS in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Obstruction (mechanical) of intraocular lens
- Perforation of intraocular lens
- Protrusion of intraocular lens
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 tissue (T86.-) Compare T85.29XS vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T85.29XS vs Z93 →
- closure of external stoma (Z43.-) Compare T85.29XS vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T85.29XS vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T85.29XS vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T85.29XS 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 T85.29XS vs T36 →
- postprocedural fever (R50.82) Compare T85.29XS vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T85.29XS vs G97.0 →
- colostomy malfunction (K94.0-) Compare T85.29XS vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T85.29XS vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T85.29XS 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 T85.29XS vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T85.29XS vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T85.29XS vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T85.29XS vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T85.29XS vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T85.29XS vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T85.29XS vs J95.851 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
Frequently Compared Codes
The official Excludes notes on T85.29XS 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
- 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 T85.29XS 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
Nearest codes (40)
- T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
- T85.193 — Other mechanical complication of implanted electronic neurostimulator, generator [Sibling]
- T85.193A — Other mechanical complication of implanted electronic neurostimulator, generator, initial encounter [Sibling]
- T85.193D — Other mechanical complication of implanted electronic neurostimulator, generator, subsequent encounter [Sibling]
- T85.193S — Other mechanical complication of implanted electronic neurostimulator, generator, sequela [Sibling]
- T85.199 — Other mechanical complication of other implanted electronic stimulator of nervous system [Sibling]
- T85.199A — Other mechanical complication of other implanted electronic stimulator of nervous system, initial encounter [Sibling]
- T85.199D — Other mechanical complication of other implanted electronic stimulator of nervous system, subsequent encounter [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T85.29XS 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 T85.29XS in its code family, with their registry titles.
- T85.22XD — Displacement of intraocular lens, subsequent encounter
- T85.22XS — Displacement of intraocular lens, sequela
- T85.29 — Other mechanical complication of intraocular lens
- T85.29XA — Other mechanical complication of intraocular lens, initial encounter
- T85.29XD — Other mechanical complication of intraocular lens, subsequent encounter
- T85.3 — Mechanical complication of other ocular prosthetic devices, implants and grafts
- T85.31 — Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts
- T85.310 — Breakdown (mechanical) of prosthetic orbit of right eye
- T85.310A — Breakdown (mechanical) of prosthetic orbit of right eye, initial encounter
- T85.310D — Breakdown (mechanical) of prosthetic orbit of right eye, subsequent encounter