T85.41XA ICD-10-CM Code: Breakdown (mechanical) of breast prosthesis and implant, initial encounter
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 600 — NON-MALIGNANT BREAST DISORDERS WITH CC/MCC (MDC 09)
- MS-DRG 601 — NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC (MDC 09)
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 T85.41XA 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.
- failure and rejection of transplanted organs and tissue (T86.-) Compare T85.41XA vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T85.41XA vs Z93 →
- closure of external stoma (Z43.-) Compare T85.41XA vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T85.41XA vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T85.41XA vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T85.41XA 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 T85.41XA vs T36 →
- postprocedural fever (R50.82) Compare T85.41XA vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T85.41XA vs G97.0 →
- colostomy malfunction (K94.0-) Compare T85.41XA vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T85.41XA vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T85.41XA 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 T85.41XA vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T85.41XA vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T85.41XA vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T85.41XA vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T85.41XA vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T85.41XA vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T85.41XA vs J95.851 →
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)
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Billable — reportable as written.
- CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
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 T85.41XA 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]
Referenced by Excludes1 notes
- Z44.3 — Encounter for fitting and adjustment of external breast prosthesis [Excludes1](via T85.4.-): “complications of breast implant (T85.4-)” · check together
- Z45.81 — Encounter for adjustment or removal of breast implant [Excludes1](via T85.4.-): “complications of breast implant (T85.4-)” · check together
Referenced by Excludes2 notes
- N64 — Other disorders of breast [Excludes2](via T85.4.-): “mechanical complication of breast prosthesis and implant (T85.4-)” · check together
Clinical classification (CCSR)
- INJ037 — Complication of other surgical or medical care, injury, initial encounter [CCSR]
Potential MS-DRG
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”
- DRG 600 — NON-MALIGNANT BREAST DISORDERS WITH CC/MCC [MS-DRG]: “NON-MALIGNANT BREAST DISORDERS WITH CC/MCC (MDC 09)”
- DRG 601 — NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC [MS-DRG]: “NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC (MDC 09)”
MDC crossing · procedures (7376)
- MDC 09 — Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast [MDC crossing]: “Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast — 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.”
- 0315090 — Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
- 031509W — Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
- 03150A0 — Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
- 03150AW — Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
- 03150J0 — Bypass Right Axillary Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach [Same-MDC procedure]: “Bypass Right Axillary Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach — grouped in MDC 09, the procedure side of this code's crossing.” · check together
- and 7371 more
Nearest codes (40)
- T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
- T85.321S — Displacement of prosthetic orbit of left eye, sequela [Sibling]
- T85.328 — Displacement of other ocular prosthetic devices, implants and grafts [Sibling]
- T85.328A — Displacement of other ocular prosthetic devices, implants and grafts, initial encounter [Sibling]
- T85.328D — Displacement of other ocular prosthetic devices, implants and grafts, subsequent encounter [Sibling]
- T85.328S — Displacement of other ocular prosthetic devices, implants and grafts, sequela [Sibling]
- T85.39 — Other mechanical complication of other ocular prosthetic devices, implants and grafts [Sibling]
- T85.390 — Other mechanical complication of prosthetic orbit of right eye [Sibling]
- and 32 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):INJ037 — Complication of other surgical or medical care, injury, initial encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 45 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 2 MS-DRGs: DRG 600 (MDC 09), DRG 601 (MDC 09).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name T85.41XA or its code family.
2 Excludes1 notes: Z44.3 (via T85.4.-), Z45.81 (via T85.4.-).
1 Excludes2 notes: N64 (via T85.4.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T85.41XA 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 T85.41XA in its code family, with their registry titles.
- T85.398A — Other mechanical complication of other ocular prosthetic devices, implants and grafts, initial encounter
- T85.398D — Other mechanical complication of other ocular prosthetic devices, implants and grafts, subsequent encounter
- T85.398S — Other mechanical complication of other ocular prosthetic devices, implants and grafts, sequela
- T85.4 — Mechanical complication of breast prosthesis and implant
- T85.41 — Breakdown (mechanical) of breast prosthesis and implant
- T85.41XD — Breakdown (mechanical) of breast prosthesis and implant, subsequent encounter
- T85.41XS — Breakdown (mechanical) of breast prosthesis and implant, sequela
- T85.42 — Displacement of breast prosthesis and implant
- T85.42XA — Displacement of breast prosthesis and implant, initial encounter
- T85.42XD — Displacement of breast prosthesis and implant, subsequent encounter