T85.690D ICD-10-CM Code: Other mechanical complication of cranial or spinal infusion catheter, subsequent 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 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
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 T85.690D in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Other mechanical complication of epidural infusion catheter
- Other mechanical complication of intrathecal infusion catheter
- Other mechanical complication of subarachnoid infusion catheter
- Other mechanical complication of subdural infusion catheter
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 T85.690D vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T85.690D vs Z93 →
- closure of external stoma (Z43.-) Compare T85.690D vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T85.690D vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T85.690D vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T85.690D 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 T85.690D vs T36 →
- postprocedural fever (R50.82) Compare T85.690D vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T85.690D vs G97.0 →
- colostomy malfunction (K94.0-) Compare T85.690D vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T85.690D vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T85.690D 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 T85.690D vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T85.690D vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T85.690D vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T85.690D vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T85.690D vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T85.690D vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T85.690D vs J95.851 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
Frequently Compared Codes
The official Excludes notes on T85.690D name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2017 — 2016-10-01Description revisedOther mechanical complication of epidural and subdural infusion catheter, subsequent encounter → Other mechanical complication of cranial or spinal infusion catheter, subsequent encounterFY2017 changes
- FY2017 — 2016-10-01Short description revisedMech compl of epidural and subdural infusion catheter, subs → Mech compl of cranial or spinal infusion catheter, subsFY2017 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.
Contextual Map
Every relationship of T85.690D 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)
- INJ072 — Complication of other surgical or medical care, injury, subsequent encounter [CCSR]
Potential MS-DRG
- DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
- DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”
MDC crossing · procedures (1235)
- MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services [MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — 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.”
- F003GKZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GMZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GPZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GYZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- F003GZZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body — grouped in MDC 23, the procedure side of this code's crossing.” · check together
- and 1230 more
Index entries (40)
- Complication (s) (from) (of), catheter NEC (device), cranial infusion, mechanical, malfunction[Index term]
- Complication (s) (from) (of), catheter NEC (device), cranial infusion, mechanical, obstruction[Index term]
- Complication (s) (from) (of), catheter NEC (device), cranial infusion, mechanical, perforation[Index term]
- Complication (s) (from) (of), catheter NEC (device), cranial infusion, mechanical, protrusion[Index term]
- Complication (s) (from) (of), catheter NEC (device), cranial infusion, mechanical, specified NEC[Index term]
- Complication (s) (from) (of), catheter NEC (device), epidural infusion, mechanical, malfunction[Index term]
- Complication (s) (from) (of), catheter NEC (device), epidural infusion, mechanical, obstruction[Index term]
- Complication (s) (from) (of), catheter NEC (device), epidural infusion, mechanical, perforation[Index term]
- and 32 more
Nearest codes (40)
- T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
- T85.630S — Leakage of cranial or spinal infusion catheter, sequela [Sibling]
- T85.631 — Leakage of intraperitoneal dialysis catheter [Sibling]
- T85.631A — Leakage of intraperitoneal dialysis catheter, initial encounter [Sibling]
- T85.631D — Leakage of intraperitoneal dialysis catheter, subsequent encounter [Sibling]
- T85.631S — Leakage of intraperitoneal dialysis catheter, sequela [Sibling]
- T85.633 — Leakage of insulin pump [Sibling]
- T85.633A — Leakage of insulin pump, initial encounter [Sibling]
- and 32 more
Change history (2)
- FY2017 — Description revised [Change history]
- and 1 more
Relationships & Classification
Clinical classification (AHRQ CCSR):INJ072 — Complication of other surgical or medical care, injury, subsequent 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)
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 949 (MDC 23), DRG 950 (MDC 23).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T85.690D 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 T85.690D in its code family, with their registry titles.
- T85.638D — Leakage of other specified internal prosthetic devices, implants and grafts, subsequent encounter
- T85.638S — Leakage of other specified internal prosthetic devices, implants and grafts, sequela
- T85.69 — Other mechanical complication of other specified internal prosthetic devices, implants and grafts
- T85.690 — Other mechanical complication of cranial or spinal infusion catheter
- T85.690A — Other mechanical complication of cranial or spinal infusion catheter, initial encounter
- T85.690S — Other mechanical complication of cranial or spinal infusion catheter, sequela
- T85.691 — Other mechanical complication of intraperitoneal dialysis catheter
- T85.691A — Other mechanical complication of intraperitoneal dialysis catheter, initial encounter
- T85.691D — Other mechanical complication of intraperitoneal dialysis catheter, subsequent encounter
- T85.691S — Other mechanical complication of intraperitoneal dialysis catheter, sequela
Indexed Clinical Terms (40)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Complication (s) (from) (of), catheter NEC (device), cranial infusion, mechanical, malfunction
- Complication (s) (from) (of), catheter NEC (device), cranial infusion, mechanical, obstruction
- Complication (s) (from) (of), catheter NEC (device), cranial infusion, mechanical, perforation
- Complication (s) (from) (of), catheter NEC (device), cranial infusion, mechanical, protrusion
- Complication (s) (from) (of), catheter NEC (device), cranial infusion, mechanical, specified NEC
- Complication (s) (from) (of), catheter NEC (device), epidural infusion, mechanical, malfunction
- Complication (s) (from) (of), catheter NEC (device), epidural infusion, mechanical, obstruction
- Complication (s) (from) (of), catheter NEC (device), epidural infusion, mechanical, perforation
- Complication (s) (from) (of), catheter NEC (device), epidural infusion, mechanical, protrusion
- Complication (s) (from) (of), catheter NEC (device), epidural infusion, mechanical, specified NEC
- Complication (s) (from) (of), catheter NEC (device), intrathecal infusion, mechanical, malfunction
- Complication (s) (from) (of), catheter NEC (device), intrathecal infusion, mechanical, obstruction
- Complication (s) (from) (of), catheter NEC (device), intrathecal infusion, mechanical, perforation
- Complication (s) (from) (of), catheter NEC (device), intrathecal infusion, mechanical, protrusion
- Complication (s) (from) (of), catheter NEC (device), intrathecal infusion, mechanical, specified NEC
- Complication (s) (from) (of), catheter NEC (device), spinal infusion, mechanical, malfunction
- Complication (s) (from) (of), catheter NEC (device), spinal infusion, mechanical, obstruction
- Complication (s) (from) (of), catheter NEC (device), spinal infusion, mechanical, perforation
- Complication (s) (from) (of), catheter NEC (device), spinal infusion, mechanical, protrusion
- Complication (s) (from) (of), catheter NEC (device), spinal infusion, mechanical, specified NEC
- Complication (s) (from) (of), catheter NEC (device), subarachnoid infusion, mechanical, malfunction
- Complication (s) (from) (of), catheter NEC (device), subarachnoid infusion, mechanical, obstruction
- Complication (s) (from) (of), catheter NEC (device), subarachnoid infusion, mechanical, perforation
- Complication (s) (from) (of), catheter NEC (device), subarachnoid infusion, mechanical, protrusion
- Complication (s) (from) (of), catheter NEC (device), subarachnoid infusion, mechanical, specified NEC
- Complication (s) (from) (of), catheter NEC (device), subdural infusion, mechanical, malfunction
- Complication (s) (from) (of), catheter NEC (device), subdural infusion, mechanical, obstruction
- Complication (s) (from) (of), catheter NEC (device), subdural infusion, mechanical, perforation
- Complication (s) (from) (of), catheter NEC (device), subdural infusion, mechanical, protrusion
- Complication (s) (from) (of), catheter NEC (device), subdural infusion, mechanical, specified NEC
- Complication (s) (from) (of), prosthetic device or implant, mechanical NEC, subduralcatheter (infusion)
- Malfunction, catheter device NEC, infusion NEC, cranial
- Malfunction, catheter device NEC, infusion NEC, epidural
- Malfunction, catheter device NEC, infusion NEC, intrathecal
- Malfunction, catheter device NEC, infusion NEC, spinal
- Malfunction, catheter device NEC, infusion NEC, subarachnoid
- Malfunction, catheter device NEC, infusion NEC, subdural
- Obstruction, obstructed, obstructive, device, implant or graft, catheter NEC, infusion NEC, spinal (epidural) (subdural)
- Perforation, perforated (nontraumatic) (of), by, device, implant or graft, catheter NEC, infusion NEC, spinal (epidural) (subdural)
- Protrusion, protrusio, device, implant or graft, catheter NEC, infusion NEC, spinal (epidural) (subdural)