Skip to main content
ICD-10/T85.81

T85.81 ICD-10-CM Code: Embolism due to internal prosthetic devices, implants and grafts, not elsewhere classified

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Embolism due to internal prosthetic devices, implants and grafts, not elsewhere classified is a non-billable ICD-10-CM category code (T85.81). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T85.81 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.

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • 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

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

Verify Before Coding

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 T85.81 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]

Referenced by Excludes2 notes

  • T80.1 — Vascular complications following infusion, transfusion and therapeutic injection [Excludes2](via T85.8.-): “vascular complications specified as due to prosthetic devices, implants and grafts (T82.8-, T83.8-, T84.8-, T85.8-)” · check together
  • T81.7 — Vascular complications following a procedure, not elsewhere classified [Excludes2]: “embolism due to prosthetic devices, implants and grafts (T82.8-, T83.81, T84.8-, T85.81-)” · check together

Nearest codes (40)

  • T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
  • T85.733A — Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounter [Sibling]
  • T85.733D — Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), subsequent encounter [Sibling]
  • T85.733S — Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), sequela [Sibling]
  • T85.734 — Infection and inflammatory reaction due to implanted electronic neurostimulator, generator [Sibling]
  • T85.734A — Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, initial encounter [Sibling]
  • T85.734D — Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, subsequent encounter [Sibling]
  • T85.734S — Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, sequela [Sibling]
  • and 32 more

Referenced by Other Codes

Official ICD-10-CM tabular notes on other codes that name T85.81 or its code family.

2 Excludes2 notes: T80.1 (via T85.8.-), T81.7.

Frequently Asked Questions (FAQ) & Clinical Guidance

Can T85.81 be billed directly?

No. T85.81 (Embolism due to internal prosthetic devices, implants and grafts, not elsewhere classified) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does T85.81 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 T85.81 in its code family, with their registry titles.

  • 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
  • T85.8 — Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classified
  • T85.810 — Embolism due to nervous system prosthetic devices, implants and grafts
  • T85.810A — Embolism due to nervous system prosthetic devices, implants and grafts, initial encounter
  • T85.810D — Embolism due to nervous system prosthetic devices, implants and grafts, subsequent encounter
  • T85.810S — Embolism due to nervous system prosthetic devices, implants and grafts, sequela
  • T85.818 — Embolism due to other internal prosthetic devices, implants and grafts

View all codes in the T85 family