T85.63 ICD-10-CM Code: Leakage of other specified internal 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
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T85.63 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 T85.63 vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T85.63 vs Z93 →
- closure of external stoma (Z43.-) Compare T85.63 vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T85.63 vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T85.63 vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T85.63 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 T85.63 vs T36 →
- postprocedural fever (R50.82) Compare T85.63 vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T85.63 vs G97.0 →
- colostomy malfunction (K94.0-) Compare T85.63 vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T85.63 vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T85.63 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 T85.63 vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T85.63 vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T85.63 vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T85.63 vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T85.63 vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T85.63 vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T85.63 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
- Not billable as written — a more specific code is required: T85.630A, T85.630D, T85.630S, T85.631A, T85.631D.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category T85" Options: T85.630A, T85.630D, T85.630S, T85.631A, T85.631D, T85.631S
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 T85.63 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]
Nearest codes (40)
- T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
- T85.622 — Displacement of permanent sutures [Sibling]
- T85.622A — Displacement of permanent sutures, initial encounter [Sibling]
- T85.622D — Displacement of permanent sutures, subsequent encounter [Sibling]
- T85.622S — Displacement of permanent sutures, sequela [Sibling]
- T85.623 — Displacement of artificial skin graft and decellularized allodermis [Sibling]
- T85.623A — Displacement of artificial skin graft and decellularized allodermis, initial encounter [Sibling]
- T85.623D — Displacement of artificial skin graft and decellularized allodermis, subsequent encounter [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Can T85.63 be billed directly?
No. T85.63 (Leakage of other specified internal 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 T85.63 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 T85.63 in its code family, with their registry titles.
- T85.625S — Displacement of other nervous system device, implant or graft, sequela
- T85.628 — Displacement of other specified internal prosthetic devices, implants and grafts
- T85.628A — Displacement of other specified internal prosthetic devices, implants and grafts, initial encounter
- T85.628D — Displacement of other specified internal prosthetic devices, implants and grafts, subsequent encounter
- T85.628S — Displacement of other specified internal prosthetic devices, implants and grafts, sequela
- T85.630 — Leakage of cranial or spinal infusion catheter
- T85.630A — Leakage of cranial or spinal infusion catheter, initial encounter
- T85.630D — Leakage of cranial or spinal infusion catheter, subsequent encounter
- T85.630S — Leakage of cranial or spinal infusion catheter, sequela
- T85.631 — Leakage of intraperitoneal dialysis catheter