T85.898 ICD-10-CM Code: Other specified complication of 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
Other specified complication of other internal prosthetic devices, implants and grafts is a non-billable ICD-10-CM category code (T85.898). A more specific billable subcode must be selected for claims submission.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T85.898 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.
- failure and rejection of transplanted organs and tissue (T86.-) Compare T85.898 vs T86 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T85.898 vs Z93 →
- closure of external stoma (Z43.-) Compare T85.898 vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T85.898 vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T85.898 vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T85.898 vs O00 →
- mechanical complication of respirator ventilator
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6) Compare T85.898 vs T36 →
- postprocedural fever (R50.82) Compare T85.898 vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T85.898 vs G97.0 →
- colostomy malfunction (K94.0-) Compare T85.898 vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T85.898 vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T85.898 vs I97.0 →
- intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-) Compare T85.898 vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T85.898 vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T85.898 vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T85.898 vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T85.898 vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T85.898 vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T85.898 vs J95.851 →
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 — 2016-10-01Added to the code setOther specified complication of other internal prosthetic devices, implants and graftsFY2017 changes
Verify Before Coding
- Not billable as written — a more specific code is required: T85.898A, T85.898D, T85.898S.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category T85" Options: T85.898A, T85.898D, T85.898S
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 T85.898 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
Referenced by Code First instructions
- N64.1 — Fat necrosis of breast [Code First]: “breast necrosis due to breast graft (T85.898)” · check together
Index entries (15)
- Adhesions, adhesive (postinfective), iris, to corneal graft[Index term]
- Breakdown, device, graft or implant, subcutaneous device pocket, other internal prosthetic device, implant, or graft[Index term]
- Complication (s) (from) (of), balloon implant or device, gastrointestinal, specified type NEC[Index term]
- Complication (s) (from) (of), bile duct implant (prosthetic), specified type NEC[Index term]
- Complication (s) (from) (of), breast implant (prosthetic), specified type NEC[Index term]
- Complication (s) (from) (of), catheter NEC (device), intraperitoneal dialysis, specified type NEC[Index term]
- Complication (s) (from) (of), esophageal anti-reflux device, specified type NEC[Index term]
- Complication (s) (from) (of), eye, implant (prosthetic), specified type NEC[Index term]
- and 7 more
Nearest codes (40)
- T85 — Complications of other internal prosthetic devices, implants and grafts [Sibling]
- T85.838S — Hemorrhage due to other internal prosthetic devices, implants and grafts, sequela [Sibling]
- T85.84 — Pain due to internal prosthetic devices, implants and grafts, not elsewhere classified [Sibling]
- T85.840 — Pain due to nervous system prosthetic devices, implants and grafts [Sibling]
- T85.840A — Pain due to nervous system prosthetic devices, implants and grafts, initial encounter [Sibling]
- T85.840D — Pain due to nervous system prosthetic devices, implants and grafts, subsequent encounter [Sibling]
- T85.840S — Pain due to nervous system prosthetic devices, implants and grafts, sequela [Sibling]
- T85.848 — Pain due to other internal prosthetic devices, implants and grafts [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 T85.898 or its code family.
1 Excludes2 notes: T80.1 (via T85.8.-).
1 Code First instructions: N64.1.
Frequently Asked Questions (FAQ) & Clinical Guidance
Can T85.898 be billed directly?
No. T85.898 (Other specified complication of 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 T85.898 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 T85.898 in its code family, with their registry titles.
- T85.89 — Other specified complication of internal prosthetic devices, implants and grafts, not elsewhere classified
- T85.890 — Other specified complication of nervous system prosthetic devices, implants and grafts
- T85.890A — Other specified complication of nervous system prosthetic devices, implants and grafts, initial encounter
- T85.890D — Other specified complication of nervous system prosthetic devices, implants and grafts, subsequent encounter
- T85.890S — Other specified complication of nervous system prosthetic devices, implants and grafts, sequela
- T85.898A — Other specified complication of other internal prosthetic devices, implants and grafts, initial encounter
- T85.898D — Other specified complication of other internal prosthetic devices, implants and grafts, subsequent encounter
- T85.898S — Other specified complication of other internal prosthetic devices, implants and grafts, sequela
- T85.9 — Unspecified complication of internal prosthetic device, implant and graft
- T85.9XXA — Unspecified complication of internal prosthetic device, implant and graft, initial encounter
Indexed Clinical Terms (15)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Adhesions, adhesive (postinfective), iris, to corneal graft
- Breakdown, device, graft or implant, subcutaneous device pocket, other internal prosthetic device, implant, or graft
- Complication (s) (from) (of), balloon implant or device, gastrointestinal, specified type NEC
- Complication (s) (from) (of), bile duct implant (prosthetic), specified type NEC
- Complication (s) (from) (of), breast implant (prosthetic), specified type NEC
- Complication (s) (from) (of), catheter NEC (device), intraperitoneal dialysis, specified type NEC
- Complication (s) (from) (of), esophageal anti-reflux device, specified type NEC
- Complication (s) (from) (of), eye, implant (prosthetic), specified type NEC
- Complication (s) (from) (of), gastrointestinal, prosthetic device or implant, specified type NEC, specified complication NEC
- Complication (s) (from) (of), intraocular lens (prosthetic), specified type NEC
- Complication (s) (from) (of), orbital prosthesis, specified type NEC
- Complication (s) (from) (of), prosthetic device or implant, skin graft, artificial skin or decellularized allodermis, specified type NEC
- Complication (s) (from) (of), prosthetic device or implant, specified NEC, specified type NEC
- Complication (s) (from) (of), suture, permanent NEC (wire), specified type NEC
- Erosion, subcutaneous device pocket, other internal prosthetic device, implant, or graft