T85.7 is the authoritative medical code for Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts. This classification is used in medical billing and clinical recording to specify the clinical criteria for infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts (ICD-10-CM T85.7), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts is a non-billable ICD-10-CM category code T85.7. A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): failure and rejection of transplanted organs and tissue T86.-; any encounters with medical care for postprocedural conditions in which no complications are present, such as:; artificial opening status Z93.-; closure of external stoma Z43.-; fitting and adjustment of external prosthetic device Z44.-; burns and corrosions from local applications and irradiation T20-T32; complications of surgical procedures during pregnancy, childbirth and the puerperium O00-O9A; mechanical complication of respirator ventilator; poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6); postprocedural fever R50.82; specified complications classified elsewhere, such as:; cerebrospinal fluid leak from spinal puncture G97.0; colostomy malfunction K94.0-; disorders of fluid and electrolyte imbalance E86-E87; functional disturbances following cardiac surgery I97.0-I97.1; 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.-); ostomy complications (J95.0-, K94.-, N99.5-); postgastric surgery syndromes K91.1; postlaminectomy syndrome NEC M96.1; postmastectomy lymphedema syndrome I97.2; postsurgical blind-loop syndrome K91.2; ventilator associated pneumonia J95.851. Use additional code: code to identify infection. 7th character: The appropriate 7th character is to be added to each code from category T85.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T85.7 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.-
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status Z93.-
- closure of external stoma Z43.-
- fitting and adjustment of external prosthetic device Z44.-
- burns and corrosions from local applications and irradiation T20-T32
- complications of surgical procedures during pregnancy, childbirth and the puerperium O00-O9A
- mechanical complication of respirator ventilator
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
- postprocedural fever R50.82
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture G97.0
- colostomy malfunction K94.0-
- disorders of fluid and electrolyte imbalance E86-E87
- functional disturbances following cardiac surgery I97.0-I97.1
- 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.-)
- ostomy complications (J95.0-, K94.-, N99.5-)
- postgastric surgery syndromes K91.1
- postlaminectomy syndrome NEC M96.1
- postmastectomy lymphedema syndrome I97.2
- postsurgical blind-loop syndrome K91.2
- ventilator associated pneumonia J95.851
Use Additional Code
Supplementary codes the tabular list directs you to add.
- code to identify infection
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
- code(s) to identify the specified condition resulting from the complication
- code to identify devices involved and details of circumstances Y62-Y82
Frequently Asked Questions (FAQ) & Clinical Guidance
Can T85.7 be billed directly?
No. T85.7 (Infection and inflammatory reaction due to other 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 T85.7 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T85.
Can T85.7 be reported alongside related conditions?
Per official ICD-10-CM Excludes2 instructions, T85.7 and the following are not considered part of each other and may both be reported when both conditions are present: failure and rejection of transplanted organs and tissue (T86.-); any encounters with medical care for postprocedural conditions in which no complications are present, such as:; artificial opening status (Z93.-); closure of external stoma (Z43.-).
Is an additional code needed with T85.7?
Use additional code(s) to specify: code to identify infection; code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5); code(s) to identify the specified condition resulting from the complication; code to identify devices involved and details of circumstances (Y62-Y82).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T85.7 in its code family, with their registry titles.
- T85 — Complications of other internal prosthetic devices, implants and grafts
- T85.0 — Mechanical complication of ventricular intracranial (communicating) shunt
- T85.01 — Breakdown (mechanical) of ventricular intracranial (communicating) shunt
- T85.01XA — Breakdown (mechanical) of ventricular intracranial (communicating) shunt, initial encounter
- T85.01XD — Breakdown (mechanical) of ventricular intracranial (communicating) shunt, subsequent encounter
- T85.01XS — Breakdown (mechanical) of ventricular intracranial (communicating) shunt, sequela
- T85.02 — Displacement of ventricular intracranial (communicating) shunt
- T85.02XA — Displacement of ventricular intracranial (communicating) shunt, initial encounter
- T85.02XD — Displacement of ventricular intracranial (communicating) shunt, subsequent encounter
- T85.02XS — Displacement of ventricular intracranial (communicating) shunt, sequela
View all 40 codes in the T85 family