T85.735S ICD-10-CM Code: Infection and inflammatory reaction due to cranial or spinal infusion catheter, sequela
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 922 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC (MDC 21)
- MS-DRG 923 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC (MDC 21)
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 T85.735S 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 epidural catheter
- Infection and inflammatory reaction due to intrathecal infusion catheter
- Infection and inflammatory reaction due to subarachnoid catheter
- Infection and inflammatory reaction due to subdural 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 T85.735S vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T85.735S vs Z93 →
- closure of external stoma (Z43.-) Compare T85.735S vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T85.735S vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T85.735S vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T85.735S 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 T85.735S vs T36 →
- postprocedural fever (R50.82) Compare T85.735S vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T85.735S vs G97.0 →
- colostomy malfunction (K94.0-) Compare T85.735S vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T85.735S vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T85.735S 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 T85.735S vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T85.735S vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T85.735S vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T85.735S vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T85.735S vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T85.735S vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T85.735S 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 (15)
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, infection and inflammation
- Complication (s) (from) (of), catheter NEC (device), epidural infusion, infection and inflammation
- Complication (s) (from) (of), catheter NEC (device), intrathecal infusion, infection and inflammation
- Complication (s) (from) (of), catheter NEC (device), spinal infusion, infection and inflammation
- Complication (s) (from) (of), catheter NEC (device), subarachnoid infusion, infection and inflammation
- Complication (s) (from) (of), catheter NEC (device), subdural infusion, infection and inflammation
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, catheter NEC, infusion NEC, cranial
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, catheter NEC, infusion NEC, intrathecal
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, catheter NEC, infusion NEC, spinal (epidural) (subdural)
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, catheter NEC, infusion NEC, subarachnoid
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, catheter, infusion, cranial
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, catheter, infusion, intrathecal
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, catheter, infusion, spinal (epidural) (subdural)
- Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, catheter, infusion, subarachnoid
- Sepsis (generalized) (unspecified organism), due to device, implant or graft, catheter NEC, infusion NEC, spinal (cranial) (epidural) (intrathecal) (spinal) (subarachnoid) (subdural)
Frequently Compared Codes
The official Excludes notes on T85.735S 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 cranial or spinal infusion catheter, sequelaFY2017 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.
Relationships & Classification
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 922 (MDC 21), DRG 923 (MDC 21).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INJ076 — Complication, sequela (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Contextual Map
Every relationship of T85.735S 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)
- INJ076 — Complication, sequela [CCSR]
Potential MS-DRG
- DRG 922 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC [MS-DRG]: “OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC (MDC 21)”
- DRG 923 — OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC [MS-DRG]: “OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC (MDC 21)”
MDC crossing · procedures (32029)
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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 21, 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 21, 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 21, 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 21, 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 21, the procedure side of this code's crossing.” · check together
- and 32024 more
Index entries (15)
- Complication (s) (from) (of), catheter NEC (device), cranial infusion, infection and inflammation[Index term]
- Complication (s) (from) (of), catheter NEC (device), epidural infusion, infection and inflammation[Index term]
- Complication (s) (from) (of), catheter NEC (device), intrathecal infusion, infection and inflammation[Index term]
- Complication (s) (from) (of), catheter NEC (device), spinal infusion, infection and inflammation[Index term]
- Complication (s) (from) (of), catheter NEC (device), subarachnoid infusion, infection and inflammation[Index term]
- Complication (s) (from) (of), catheter NEC (device), subdural infusion, infection and inflammation[Index term]
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, catheter NEC, infusion NEC, cranial[Index term]
- Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, catheter NEC, infusion NEC, intrathecal[Index term]
- and 7 more
Nearest codes (40)
- T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
- T85.730S — Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt, sequela [Sibling]
- T85.731 — Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead) [Sibling]
- T85.731A — Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), initial encounter [Sibling]
- T85.731D — Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter [Sibling]
- T85.731S — Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), sequela [Sibling]
- T85.732 — Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead) [Sibling]
- T85.732A — Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounter [Sibling]
- and 32 more
Change history
- FY2017 — Added to the code set [Change history]
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T85.735S 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 T85.735S in its code family, with their registry titles.
- 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
- T85.735D — Infection and inflammatory reaction due to cranial or spinal infusion catheter, subsequent encounter
- T85.738 — Infection and inflammatory reaction due to other nervous system device, implant or graft
- T85.738A — Infection and inflammatory reaction due to other nervous system device, implant or graft, initial encounter
- T85.738D — Infection and inflammatory reaction due to other nervous system device, implant or graft, subsequent encounter
- T85.738S — Infection and inflammatory reaction due to other nervous system device, implant or graft, sequela
- T85.79 — Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts