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ICD-10/T85.738D

T85.738D ICD-10-CM Code: Infection and inflammatory reaction due to other nervous system device, implant or graft, subsequent 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.

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

Infection and inflammatory reaction due to other nervous system device, implant or graft, subsequent encounter is a billable ICD-10-CM diagnosis code (T85.738D).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T85.738D 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 intrathecal infusion pump

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

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 — 2016-10-01
    Added to the code set
    Infection and inflammatory reaction due to other nervous system device, implant or graft, subsequent encounter
    FY2017 changes

Verify Before Coding

  • Billable — reportable as written.

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 T85.738D 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)

  • INJ072 — Complication of other surgical or medical care, injury, subsequent encounter [CCSR]

Potential MS-DRG

  • DRG 949 — AFTERCARE WITH CC/MCC [MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
  • DRG 950 — AFTERCARE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”

MDC crossing · procedures (1235)

  • MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services [MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — 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.”
  • F003GKZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Audiovisual Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GMZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Augmentative / Alternative Communication Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GPZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Computer — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GYZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body using Other Equipment — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • F003GZZ — Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body [Same-MDC procedure]: “Communicative/Cognitive Integration Skills Assessment of Neurological System - Whole Body — grouped in MDC 23, the procedure side of this code's crossing.” · check together
  • and 1230 more

Index entries

  • Complication (s) (from) (of), electronic stimulator device, nervous system, infection and inflammation[Index term]
  • Complication (s) (from) (of), intrathecal infusion pump, infection and inflammation[Index term]
  • Complication (s) (from) (of), nervous system, device, implant or graft, specified NEC, 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[Index term]
  • Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system[Index term]
  • Sepsis (generalized) (unspecified organism), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system[Index term]

Nearest codes (40)

  • T85 — Complications of other internal prosthetic devices, implants and grafts [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]
  • T85.732D — Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), subsequent encounter [Sibling]
  • T85.732S — Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela [Sibling]
  • T85.733 — Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead) [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Relationships & Classification

Clinical classification (AHRQ CCSR):INJ072 — Complication of other surgical or medical care, injury, subsequent 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)

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 949 (MDC 23), DRG 950 (MDC 23).

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 T85.738D 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 T85.738D in its code family, with their registry titles.

  • 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
  • T85.735S — Infection and inflammatory reaction due to cranial or spinal infusion catheter, sequela
  • 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
  • T85.738S — 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
  • T85.79XA — Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter
  • T85.79XD — Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, subsequent encounter
  • T85.79XS — Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, sequela

View all codes in the T85 family

Indexed Clinical Terms (6)

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, nervous system, infection and inflammation
  • Complication (s) (from) (of), intrathecal infusion pump, infection and inflammation
  • Complication (s) (from) (of), nervous system, device, implant or graft, specified NEC, infection and inflammation
  • Infection, infected, infective (opportunistic), due to or resulting from, device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system
  • Inflammation, inflamed, inflammatory (with exudation), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system
  • Sepsis (generalized) (unspecified organism), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system