T83.9XXA — Unspecified complication of genitourinary prosthetic device, implant and graft, initial encounter
Is T83.9XXA billable?
Yes, but T83.9XXA is an unspecified code. T83.9XXA is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, T83.9XXA is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting T83.9XXA — the more specific alternatives are listed below.
More specific alternatives
- T83.010ABreakdown (mechanical) of cystostomy catheter, initial encounter
- T83.110ABreakdown (mechanical) of urinary electronic stimulator device, initial encounter
- T83.21XABreakdown (mechanical) of graft of urinary organ, initial encounter
- T83.31XABreakdown (mechanical) of intrauterine contraceptive device, initial encounter
- T83.410ABreakdown (mechanical) of implanted penile prosthesis, initial encounter
- T83.510AInfection and inflammatory reaction due to cystostomy catheter, initial encounter
- T83.61XAInfection and inflammatory reaction due to implanted penile prosthesis, initial encounter
- T83.79XAOther specified complications due to other genitourinary prosthetic materials, initial encounter
T83.9XXA at a glance
| Code | T83.9XXA |
|---|---|
| Description | Unspecified complication of genitourinary prosthetic device, implant and graft, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in T83.9XXA?
In T83.9XXA, the 7th character A means initial encounter. The 7th character is required for T83.9XXA to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T83.9XXA group to?
T83.9XXA sits in MDC 11 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 698Other Kidney and Urinary Tract Diagnoses with MCCmedical
- 699Other Kidney and Urinary Tract Diagnoses with CCmedical
- 700Other Kidney and Urinary Tract Diagnoses without CC/MCCmedical
As a secondary diagnosis, T83.9XXA is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is T83.9XXA listed in the Alphabetic Index?
The Alphabetic Index lists these routes under T83.9, the nearest indexed parent of T83.9XXA. Use them to find the family, then select the specific code.
- Complication › catheterNEC › cystostomy (s) (from) (of)
- Complication › catheterNEC › urethral (s) (from) (of)
- Complication › electronic stimulator device › urinary (s) (from) (of)
- Complication › genitourinary › device or implant (s) (from) (of)
- Complication › graft › urinary organ (s) (from) (of)
- Complication › implant › urinary sphincter (s) (from) (of)
- Complication › prosthetic device or implant › penile (s) (from) (of)
- Complication › genitourinary › device or implant › genital tract (s) (from) (of)
Use additional code — inherited from Chapter 19
Report an additional code alongside T83.9XXA to fully describe the condition. T83.9XXA 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 T83.9XXA to fully describe the condition. T83.9XXA is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T83.9XXA, but a patient may have both at the same time. When documentation supports it, T83.9XXA and the excluded code may both be reported.
Excludes2 — not included here — inherited from T80-T88
The conditions below are not part of T83.9XXA, but a patient may have both at the same time. When documentation supports it, T83.9XXA 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 T83
The conditions below are not part of T83.9XXA, but a patient may have both at the same time. When documentation supports it, T83.9XXA and the excluded code may both be reported.
- failure and rejection of transplanted organs and tissue (T86.-)
How long has T83.9XXA existed?
T83.9XXA 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.