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T85.850 ICD-10-CM Code: Stenosis due to nervous system 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

Stenosis due to nervous system prosthetic devices, implants and grafts is a non-billable ICD-10-CM category code (T85.850). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for T85.850 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)

Indexed Clinical Terms (9)

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, stenosis
  • Complication (s) (from) (of), catheter NEC (device), subdural infusion, stenosis
  • Complication (s) (from) (of), electronic stimulator device, brain, stenosis
  • Complication (s) (from) (of), electronic stimulator device, nervous system, stenosis
  • Complication (s) (from) (of), electronic stimulator device, peripheral nerve, stenosis
  • Complication (s) (from) (of), electronic stimulator device, spinal cord, stenosis
  • Complication (s) (from) (of), ventricular (communicating) shunt (device), stenosis
  • Stenosis, stenotic (cicatricial), due to presence of device, implant or graft, catheter, infusion NEC, spinal (epidural) (subdural)
  • Stenosis, stenotic (cicatricial), due to presence of device, implant or graft, ventricular intracranial shunt

Frequently Compared Codes

The official Excludes notes on T85.850 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Stenosis due to nervous system 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.

Relationships & Classification

Official ICD-10-CM tabular notes on other codes that name T85.850 or its code family.

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

Contextual Map

Every relationship of T85.850 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 (9)

  • Complication (s) (from) (of), catheter NEC (device), epidural infusion, stenosis[Index term]
  • Complication (s) (from) (of), catheter NEC (device), subdural infusion, stenosis[Index term]
  • Complication (s) (from) (of), electronic stimulator device, brain, stenosis[Index term]
  • Complication (s) (from) (of), electronic stimulator device, nervous system, stenosis[Index term]
  • Complication (s) (from) (of), electronic stimulator device, peripheral nerve, stenosis[Index term]
  • Complication (s) (from) (of), electronic stimulator device, spinal cord, stenosis[Index term]
  • Complication (s) (from) (of), ventricular (communicating) shunt (device), stenosis[Index term]
  • Stenosis, stenotic (cicatricial), due to presence of device, implant or graft, catheter, infusion NEC, spinal (epidural) (subdural)[Index term]
  • and 1 more

Nearest codes (40)

  • T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
  • T85.828S — Fibrosis due to other internal prosthetic devices, implants and grafts, sequela [Sibling]
  • T85.83 — Hemorrhage due to internal prosthetic devices, implants and grafts, not elsewhere classified [Sibling]
  • T85.830 — Hemorrhage due to nervous system prosthetic devices, implants and grafts [Sibling]
  • T85.830A — Hemorrhage due to nervous system prosthetic devices, implants and grafts, initial encounter [Sibling]
  • T85.830D — Hemorrhage due to nervous system prosthetic devices, implants and grafts, subsequent encounter [Sibling]
  • T85.830S — Hemorrhage due to nervous system prosthetic devices, implants and grafts, sequela [Sibling]
  • T85.838 — Hemorrhage due to other internal prosthetic devices, implants and grafts [Sibling]
  • and 32 more

Change history

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

Frequently Asked Questions (FAQ) & Clinical Guidance

Can T85.850 be billed directly?

No. T85.850 (Stenosis due to nervous system 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 T85.850 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 T85.850 in its code family, with their registry titles.

  • T85.848 — Pain due to other internal prosthetic devices, implants and grafts
  • T85.848A — Pain due to other internal prosthetic devices, implants and grafts, initial encounter
  • T85.848D — Pain due to other internal prosthetic devices, implants and grafts, subsequent encounter
  • T85.848S — Pain due to other internal prosthetic devices, implants and grafts, sequela
  • T85.85 — Stenosis due to internal prosthetic devices, implants and grafts, not elsewhere classified
  • T85.850A — Stenosis due to nervous system prosthetic devices, implants and grafts, initial encounter
  • T85.850D — Stenosis due to nervous system prosthetic devices, implants and grafts, subsequent encounter
  • T85.850S — Stenosis due to nervous system prosthetic devices, implants and grafts, sequela
  • T85.858 — Stenosis due to other internal prosthetic devices, implants and grafts
  • T85.858A — Stenosis due to other internal prosthetic devices, implants and grafts, initial encounter

View all codes in the T85 family