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ICD-10/T85.810D

T85.810D ICD-10-CM Code: Embolism due to nervous system prosthetic devices, implants and grafts, 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

Embolism due to nervous system prosthetic devices, implants and grafts, subsequent encounter is a billable ICD-10-CM diagnosis code (T85.810D).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T85.810D 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

  • FY2017 — 2016-10-01
    Added to the code set
    Embolism due to nervous system prosthetic devices, implants and grafts, subsequent encounter
    FY2017 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 T85.810D 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

  • 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](via T85.81.-): “embolism due to prosthetic devices, implants and grafts (T82.8-, T83.81, T84.8-, T85.81-)” · check together

Clinical classification (CCSR)

  • INJ072 — Complication of other surgical or medical care, injury, subsequent 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 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 (10)

  • Complication (s) (from) (of), catheter NEC (device), epidural infusion, embolism[Index term]
  • Complication (s) (from) (of), catheter NEC (device), subdural infusion, embolism[Index term]
  • Complication (s) (from) (of), electronic stimulator device, brain, embolism[Index term]
  • Complication (s) (from) (of), electronic stimulator device, nervous system, embolism[Index term]
  • Complication (s) (from) (of), electronic stimulator device, peripheral nerve, embolism[Index term]
  • Complication (s) (from) (of), electronic stimulator device, spinal cord, embolism[Index term]
  • Complication (s) (from) (of), ventricular (communicating) shunt (device), embolism[Index term]
  • Embolism (multiple) (paradoxical), due to device, implant or graft, catheter NEC, infusion NEC, spinal (epidural) (subdural)[Index term]
  • and 2 more

Nearest codes (40)

  • T85 — Complications of other internal prosthetic devices, implants and grafts [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]
  • T85.735 — Infection and inflammatory reaction due to cranial or spinal infusion catheter [Sibling]
  • T85.735A — Infection and inflammatory reaction due to cranial or spinal infusion catheter, initial encounter [Sibling]
  • T85.735D — Infection and inflammatory reaction due to cranial or spinal infusion catheter, subsequent encounter [Sibling]
  • and 32 more

Change history

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

Referenced by Other Codes

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)

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 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.

Official ICD-10-CM tabular notes on other codes that name T85.810D or its code family.

2 Excludes2 notes: T80.1 (via T85.8.-), T81.7 (via T85.81.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Does T85.810D 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 T85.810D in its code family, with their registry titles.

  • 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
  • T85.81 — Embolism due to 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
  • T85.810S — Embolism due to nervous system prosthetic devices, implants and grafts, sequela
  • T85.818 — Embolism due to other internal prosthetic devices, implants and grafts
  • T85.818A — Embolism due to other internal prosthetic devices, implants and grafts, initial encounter
  • T85.818D — Embolism due to other internal prosthetic devices, implants and grafts, subsequent encounter
  • T85.818S — Embolism due to other internal prosthetic devices, implants and grafts, sequela

View all codes in the T85 family

Indexed Clinical Terms (10)

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), epidural infusion, embolism
  • Complication (s) (from) (of), catheter NEC (device), subdural infusion, embolism
  • Complication (s) (from) (of), electronic stimulator device, brain, embolism
  • Complication (s) (from) (of), electronic stimulator device, nervous system, embolism
  • Complication (s) (from) (of), electronic stimulator device, peripheral nerve, embolism
  • Complication (s) (from) (of), electronic stimulator device, spinal cord, embolism
  • Complication (s) (from) (of), ventricular (communicating) shunt (device), embolism
  • Embolism (multiple) (paradoxical), due to device, implant or graft, catheter NEC, infusion NEC, spinal (epidural) (subdural)
  • Embolism (multiple) (paradoxical), due to device, implant or graft, electronic (electrode) (pulse generator) (stimulator), nervous system (brain) (peripheral nerve) (spinal)
  • Embolism (multiple) (paradoxical), due to device, implant or graft, ventricular intracranial shunt