T85.731 ICD-10-CM Code: Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead)
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 T85.731 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 T85.731 vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T85.731 vs Z93 →
- closure of external stoma (Z43.-) Compare T85.731 vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T85.731 vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T85.731 vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T85.731 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 T85.731 vs T36 →
- postprocedural fever (R50.82) Compare T85.731 vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T85.731 vs G97.0 →
- colostomy malfunction (K94.0-) Compare T85.731 vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T85.731 vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T85.731 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 T85.731 vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T85.731 vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T85.731 vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T85.731 vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T85.731 vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T85.731 vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T85.731 vs J95.851 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code to identify infection
- 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)
Indexed Clinical Terms (4)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Complication (s) (from) (of), electronic stimulator device, brain, infection and inflammation
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, brain
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, brain
- Sepsis (generalized) (unspecified organism), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, brain
Frequently Compared Codes
The official Excludes notes on T85.731 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2017 — 2016-10-01Added to the code setInfection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead)FY2017 changes
Verify Before Coding
- Not billable as written — a more specific code is required: T85.731A, T85.731D, T85.731S.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category T85" Options: T85.731A, T85.731D, T85.731S
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 T85.731 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]
Index entries
- Complication (s) (from) (of), electronic stimulator device, brain, infection and inflammation[Index term]
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, brain[Index term]
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, brain[Index term]
- Sepsis (generalized) (unspecified organism), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, brain[Index term]
Nearest codes (40)
- T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
- T85.695D — Other mechanical complication of other nervous system device, implant or graft, subsequent encounter [Sibling]
- T85.695S — Other mechanical complication of other nervous system device, implant or graft, sequela [Sibling]
- T85.698 — Other mechanical complication of other specified internal prosthetic devices, implants and grafts [Sibling]
- T85.698A — Other mechanical complication of other specified internal prosthetic devices, implants and grafts, initial encounter [Sibling]
- T85.698D — Other mechanical complication of other specified internal prosthetic devices, implants and grafts, subsequent encounter [Sibling]
- T85.698S — Other mechanical complication of other specified internal prosthetic devices, implants and grafts, sequela [Sibling]
- T85.7 — Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts [Sibling]
- and 32 more
Change history
- FY2017 — Added to the code set [Change history]
Frequently Asked Questions (FAQ) & Clinical Guidance
Can T85.731 be billed directly?
No. T85.731 (Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead)) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does T85.731 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 T85.731 in its code family, with their registry titles.
- T85.73 — Infection and inflammatory reaction due to nervous system devices, implants and graft
- T85.730 — Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt
- T85.730A — Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt, initial encounter
- T85.730D — Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt, subsequent encounter
- T85.730S — Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt, sequela
- T85.731A — Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), initial encounter
- T85.731D — Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter
- T85.731S — Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), sequela
- T85.732 — Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead)
- T85.732A — Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounter