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ICD-10/T85.828

T85.828 ICD-10-CM Code: Fibrosis due to other internal prosthetic devices, implants and grafts

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

Official Registry Overview & Definition

Fibrosis due to other internal prosthetic devices, implants and grafts is a non-billable ICD-10-CM category code (T85.828). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T85.828 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
    Fibrosis due to other internal prosthetic devices, implants and grafts
    FY2017 changes

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 T85.828 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

Index entries (19)

  • Complication (s) (from) (of), balloon implant or device, gastrointestinal, fibrosis[Index term]
  • Complication (s) (from) (of), bile duct implant (prosthetic), fibrosis[Index term]
  • Complication (s) (from) (of), breast implant (prosthetic), fibrosis[Index term]
  • Complication (s) (from) (of), catheter NEC (device), intraperitoneal dialysis, fibrosis[Index term]
  • Complication (s) (from) (of), esophageal anti-reflux device, fibrosis[Index term]
  • Complication (s) (from) (of), eye, implant (prosthetic), fibrosis[Index term]
  • Complication (s) (from) (of), gastrointestinal, prosthetic device or implant, specified type NEC, fibrosis[Index term]
  • Complication (s) (from) (of), intraocular lens (prosthetic), fibrosis[Index term]
  • and 11 more

Nearest codes (40)

  • T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
  • T85.738S — Infection and inflammatory reaction due to other nervous system device, implant or graft, sequela [Sibling]
  • T85.79 — Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts [Sibling]
  • T85.79XA — Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter [Sibling]
  • T85.79XD — Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, subsequent encounter [Sibling]
  • T85.79XS — Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, sequela [Sibling]
  • T85.8 — Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classified [Sibling]
  • T85.81 — Embolism due to internal prosthetic devices, implants and grafts, not elsewhere classified [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 T85.828 or its code family.

1 Excludes2 notes: T80.1 (via T85.8.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Can T85.828 be billed directly?

No. T85.828 (Fibrosis due to other internal prosthetic devices, implants and grafts) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does T85.828 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 T85.828 in its code family, with their registry titles.

  • T85.82 — Fibrosis due to internal prosthetic devices, implants and grafts, not elsewhere classified
  • T85.820 — Fibrosis due to nervous system prosthetic devices, implants and grafts
  • T85.820A — Fibrosis due to nervous system prosthetic devices, implants and grafts, initial encounter
  • T85.820D — Fibrosis due to nervous system prosthetic devices, implants and grafts, subsequent encounter
  • T85.820S — Fibrosis due to nervous system prosthetic devices, implants and grafts, sequela
  • T85.828A — Fibrosis due to other internal prosthetic devices, implants and grafts, initial encounter
  • T85.828D — Fibrosis due to other internal prosthetic devices, implants and grafts, subsequent encounter
  • T85.828S — Fibrosis due to other internal prosthetic devices, implants and grafts, sequela
  • T85.83 — Hemorrhage due to internal prosthetic devices, implants and grafts, not elsewhere classified
  • T85.830 — Hemorrhage due to nervous system prosthetic devices, implants and grafts

View all codes in the T85 family

Indexed Clinical Terms (19)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Complication (s) (from) (of), balloon implant or device, gastrointestinal, fibrosis
  • Complication (s) (from) (of), bile duct implant (prosthetic), fibrosis
  • Complication (s) (from) (of), breast implant (prosthetic), fibrosis
  • Complication (s) (from) (of), catheter NEC (device), intraperitoneal dialysis, fibrosis
  • Complication (s) (from) (of), esophageal anti-reflux device, fibrosis
  • Complication (s) (from) (of), eye, implant (prosthetic), fibrosis
  • Complication (s) (from) (of), gastrointestinal, prosthetic device or implant, specified type NEC, fibrosis
  • Complication (s) (from) (of), intraocular lens (prosthetic), fibrosis
  • Complication (s) (from) (of), orbital prosthesis, fibrosis
  • Complication (s) (from) (of), prosthetic device or implant, skin graft, artificial skin or decellularized allodermis, fibrosis
  • Complication (s) (from) (of), prosthetic device or implant, specified NEC, fibrosis
  • Complication (s) (from) (of), suture, permanent NEC (wire), fibrosis
  • Fibrosis, fibrotic, due to device, implant or graft
  • Fibrosis, fibrotic, due to device, implant or graft, breast (implant)
  • Fibrosis, fibrotic, due to device, implant or graft, catheter NEC
  • Fibrosis, fibrotic, due to device, implant or graft, catheter NEC, dialysis (renal), intraperitoneal
  • Fibrosis, fibrotic, due to device, implant or graft, gastrointestinal (bile duct) (esophagus)
  • Fibrosis, fibrotic, due to device, implant or graft, ocular NEC (corneal graft) (orbital implant)
  • Fibrosis, fibrotic, due to device, implant or graft, specified NEC