T85.734 ICD-10-CM Code: Infection and inflammatory reaction due to implanted electronic neurostimulator, generator
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 T85.734 in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Generator pocket infection
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 T85.734 vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T85.734 vs Z93 →
- closure of external stoma (Z43.-) Compare T85.734 vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T85.734 vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T85.734 vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T85.734 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 T85.734 vs T36 →
- postprocedural fever (R50.82) Compare T85.734 vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T85.734 vs G97.0 →
- colostomy malfunction (K94.0-) Compare T85.734 vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T85.734 vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T85.734 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 T85.734 vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T85.734 vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T85.734 vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T85.734 vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T85.734 vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T85.734 vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T85.734 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)
Frequently Compared Codes
The official Excludes notes on T85.734 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, generatorFY2017 changes
Verify Before Coding
- Not billable as written — a more specific code is required: T85.734A, T85.734D, T85.734S.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category T85" Options: T85.734A, T85.734D, T85.734S
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 T85.734 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]
Referenced by Excludes2 notes
- T83.590 — Infection and inflammatory reaction due to implanted urinary neurostimulation device [Excludes2]: “Infection and inflammatory reaction due to pulse generator or receiver of sacral nerve neurostimulator (T85.734)” · check together
Index entries
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, generator pocket[Index term]
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, neurostimulator generator[Index term]
- Infection, infected, infective (opportunistic), generator pocket, implanted electronic neurostimulator[Index term]
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, neurostimulator generator[Index term]
- Sepsis (generalized) (unspecified organism), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, neurostimulator generator[Index term]
Nearest codes (40)
- T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
- T85.72XA — Infection and inflammatory reaction due to insulin pump, initial encounter [Sibling]
- T85.72XD — Infection and inflammatory reaction due to insulin pump, subsequent encounter [Sibling]
- T85.72XS — Infection and inflammatory reaction due to insulin pump, sequela [Sibling]
- T85.73 — Infection and inflammatory reaction due to nervous system devices, implants and graft [Sibling]
- T85.730 — Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt [Sibling]
- T85.730A — Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt, initial encounter [Sibling]
- T85.730D — Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt, subsequent encounter [Sibling]
- and 32 more
Change history
- FY2017 — Added to the code set [Change history]
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name T85.734 or its code family.
1 Excludes2 notes: T83.590.
Frequently Asked Questions (FAQ) & Clinical Guidance
Can T85.734 be billed directly?
No. T85.734 (Infection and inflammatory reaction due to implanted electronic neurostimulator, generator) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does T85.734 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 T85.734 in its code family, with their registry titles.
- 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
- T85.733S — Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), sequela
- T85.734A — Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, initial encounter
- T85.734D — Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, subsequent encounter
- T85.734S — Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, sequela
- T85.735 — Infection and inflammatory reaction due to cranial or spinal infusion catheter
- T85.735A — Infection and inflammatory reaction due to cranial or spinal infusion catheter, initial encounter
Indexed Clinical Terms (5)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, generator pocket
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, neurostimulator generator
- Infection, infected, infective (opportunistic), generator pocket, implanted electronic neurostimulator
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, neurostimulator generator
- Sepsis (generalized) (unspecified organism), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system, neurostimulator generator