T85.732A ICD-10-CM Code: Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), 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 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)
- MS-DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)
- MS-DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)
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 T85.732A in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Infection and inflammatory reaction due to electrode (lead) for cranial nerve neurostimulators
- Infection and inflammatory reaction due to electrode (lead) for gastric neurostimulator
- Infection and inflammatory reaction due to electrode (lead) for sacral nerve neurostimulator
- Infection and inflammatory reaction due to electrode (lead) for vagal nerve neurostimulators
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 T85.732A vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T85.732A vs Z93 →
- closure of external stoma (Z43.-) Compare T85.732A vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T85.732A vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T85.732A vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T85.732A 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 T85.732A vs T36 →
- postprocedural fever (R50.82) Compare T85.732A vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T85.732A vs G97.0 →
- colostomy malfunction (K94.0-) Compare T85.732A vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T85.732A vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T85.732A 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 T85.732A vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T85.732A vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T85.732A vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T85.732A vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T85.732A vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T85.732A vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T85.732A 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)
Change history
- FY2017 — 2016-10-01Added to the code setInfection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounterFY2017 changes
Verify Before Coding
- 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 T85.732A 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)
- 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 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC [MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)”
- DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC [MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)”
- DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC [MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)”
MDC crossing · procedures (8892)
- MDC 01 — Diseases and Disorders of the Nervous System [MDC crossing]: “Diseases and Disorders of the Nervous System — 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.”
- 0016070 — Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach — grouped in MDC 01, the procedure side of this code's crossing.” · check together
- 0016071 — Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach — grouped in MDC 01, the procedure side of this code's crossing.” · check together
- 0016072 — Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach — grouped in MDC 01, the procedure side of this code's crossing.” · check together
- 0016073 — Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach — grouped in MDC 01, the procedure side of this code's crossing.” · check together
- 0016074 — Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach — grouped in MDC 01, the procedure side of this code's crossing.” · check together
- and 8887 more
Index entries (15)
- Complication (s) (from) (of), electronic stimulator device, peripheral nerve, 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, cranial nerve[Index term]
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, gastric nerve[Index term]
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, peripheral nerve[Index term]
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, sacral nerve[Index term]
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, vagal nerve[Index term]
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, gastrointestinal (bile duct) (esophagus), neurostimulator electrode (lead)[Index term]
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, cranial nerve[Index term]
- and 7 more
Nearest codes (40)
- T85 — Complications of other internal prosthetic devices, implants and grafts [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]
- T85.71 — Infection and inflammatory reaction due to peritoneal dialysis catheter [Sibling]
- T85.71XA — Infection and inflammatory reaction due to peritoneal dialysis catheter, initial encounter [Sibling]
- T85.71XD — Infection and inflammatory reaction due to peritoneal dialysis catheter, subsequent encounter [Sibling]
- T85.71XS — Infection and inflammatory reaction due to peritoneal dialysis catheter, sequela [Sibling]
- T85.72 — Infection and inflammatory reaction due to insulin pump [Sibling]
- and 32 more
Change history
- FY2017 — Added to the code set [Change history]
Relationships & Classification
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 457 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 3 MS-DRGs: DRG 091 (MDC 01), DRG 092 (MDC 01), DRG 093 (MDC 01).
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 T85.732A 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 T85.732A in its code family, with their registry titles.
- T85.731 — Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead)
- 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)
- T85.732D — Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), subsequent encounter
- T85.732S — Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela
- T85.733 — Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead)
- T85.733A — Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounter
- T85.733D — Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), subsequent encounter
Indexed Clinical Terms (15)
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, peripheral nerve, infection and inflammation
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, cranial nerve
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, gastric nerve
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, peripheral nerve
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, sacral nerve
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, vagal nerve
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, gastrointestinal (bile duct) (esophagus), neurostimulator electrode (lead)
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, cranial nerve
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, gastric nerve
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, peripheral nerve
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, sacral nerve
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, vagal nerve
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, gastrointestinal (bile duct) (esophagus), neurostimulator electrode (lead)
- Sepsis (generalized) (unspecified organism), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, peripheral nerve
- Sepsis (generalized) (unspecified organism), due to device, implant or graft, gastrointestinal (bile duct) (esophagus), neurostimulator electrode (lead)