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T85.39 ICD-10-CM Code: Other mechanical complication of other ocular 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

Other mechanical complication of other ocular prosthetic devices, implants and grafts is a non-billable ICD-10-CM category code (T85.39). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T85.39 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Obstruction (mechanical) of other ocular prosthetic devices, implants and grafts
  • Perforation of other ocular prosthetic devices, implants and grafts
  • Protrusion of other ocular prosthetic devices, implants and grafts

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)

Frequently Compared Codes

The official Excludes notes on T85.39 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.

Contextual Map

Every relationship of T85.39 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

  • T86.84 — Complications of corneal transplant [Excludes2](via T85.3.-): “mechanical complications of corneal graft (T85.3-)” · check together

Nearest codes (40)

  • T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
  • T85.311A — Breakdown (mechanical) of prosthetic orbit of left eye, initial encounter [Sibling]
  • T85.311D — Breakdown (mechanical) of prosthetic orbit of left eye, subsequent encounter [Sibling]
  • T85.311S — Breakdown (mechanical) of prosthetic orbit of left eye, sequela [Sibling]
  • T85.318 — Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts [Sibling]
  • T85.318A — Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, initial encounter [Sibling]
  • T85.318D — Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, subsequent encounter [Sibling]
  • T85.318S — Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts, sequela [Sibling]
  • and 32 more

Referenced by Other Codes

Official ICD-10-CM tabular notes on other codes that name T85.39 or its code family.

1 Excludes2 notes: T86.84 (via T85.3.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Can T85.39 be billed directly?

No. T85.39 (Other mechanical complication of other ocular 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 T85.39 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 T85.39 in its code family, with their registry titles.

  • T85.321S — Displacement of prosthetic orbit of left eye, sequela
  • T85.328 — Displacement of other ocular prosthetic devices, implants and grafts
  • T85.328A — Displacement of other ocular prosthetic devices, implants and grafts, initial encounter
  • T85.328D — Displacement of other ocular prosthetic devices, implants and grafts, subsequent encounter
  • T85.328S — Displacement of other ocular prosthetic devices, implants and grafts, sequela
  • T85.390 — Other mechanical complication of prosthetic orbit of right eye
  • T85.390A — Other mechanical complication of prosthetic orbit of right eye, initial encounter
  • T85.390D — Other mechanical complication of prosthetic orbit of right eye, subsequent encounter
  • T85.390S — Other mechanical complication of prosthetic orbit of right eye, sequela
  • T85.391 — Other mechanical complication of prosthetic orbit of left eye

View all codes in the T85 family