ICDcodes.org
FY2027

T82.01XA — Breakdown (mechanical) of heart valve prosthesis, initial encounter

BillableCC

Is T82.01XA billable?

Yes — T82.01XA is billable for FY2027. T82.01XA is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T82.01XA may be submitted for encounters from October 1, 2026 through September 30, 2027.

T82.01XA at a glance

CodeT82.01XA
DescriptionBreakdown (mechanical) of heart valve prosthesis, initial encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "A"initial encounter

What does the 7th character "A" mean in T82.01XA?

In T82.01XA, the 7th character A means initial encounter. The 7th character is required for T82.01XA to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does T82.01XA group to?

T82.01XA sits in MDC 05 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 306Cardiac Congenital and Valvular Disorders with MCCmedical
  • 307Cardiac Congenital and Valvular Disorders without MCCmedical

As a secondary diagnosis, T82.01XA is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is T82.01XA listed in the Alphabetic Index?

The Alphabetic Index lists these routes under T82.01, the nearest indexed parent of T82.01XA. Use them to find the family, then select the specific code.

  • Complication › heart › valve › prosthesis › mechanical › breakdown (s) (from) (of)

Excludes1 — never code together — inherited from T82.0

The conditions below can never be reported together with T82.01XA on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • mechanical complication of biological heart valve graft (T82.22-)

Use additional code — inherited from Chapter 19

Report an additional code alongside T82.01XA to fully describe the condition. T82.01XA is sequenced first.

  • code to identify any retained foreign body, if applicable (Z18.-)

Use additional code — inherited from T80-T88

Report an additional code alongside T82.01XA to fully describe the condition. T82.01XA is sequenced first.

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • code(s) to identify the specified condition resulting from the complication
  • code to identify devices involved and details of circumstances (Y62-Y82)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of T82.01XA, but a patient may have both at the same time. When documentation supports it, T82.01XA and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from T80-T88

The conditions below are not part of T82.01XA, but a patient may have both at the same time. When documentation supports it, T82.01XA and the excluded code may both be reported.

  • any encounters with medical care for postprocedural conditions in which no complications are present, such as:
  • artificial opening status (Z93.-)
  • closure of external stoma (Z43.-)
  • fitting and adjustment of external prosthetic device (Z44.-)
  • burns and corrosions from local applications and irradiation (T20-T32)
  • complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
  • mechanical complication of respirator [ventilator] (J95.850)
  • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
  • postprocedural fever (R50.82)
  • specified complications classified elsewhere, such as:
  • cerebrospinal fluid leak from spinal puncture (G97.0)
  • colostomy malfunction (K94.0-)
  • disorders of fluid and electrolyte imbalance (E86-E87)
  • functional disturbances following cardiac surgery (I97.0-I97.1)
  • 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.-)
  • ostomy complications (J95.0-, K94.-, N99.5-)
  • postgastric surgery syndromes (K91.1)
  • postlaminectomy syndrome NEC (M96.1)
  • postmastectomy lymphedema syndrome (I97.2)
  • postsurgical blind-loop syndrome (K91.2)
  • ventilator associated pneumonia (J95.851)

Excludes2 — not included here — inherited from T82

The conditions below are not part of T82.01XA, but a patient may have both at the same time. When documentation supports it, T82.01XA and the excluded code may both be reported.

  • failure and rejection of transplanted organs and tissue (T86.-)

How long has T82.01XA existed?

T82.01XA has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.