T84.01 — Broken internal joint prosthesis
Is T84.01 billable?
No — T84.01 is a non-billable header code. T84.01 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 18 billable codes beneath T84.01.
Billable codes under this header
- T84.010ABroken internal right hip prosthesis, initial encounter
- T84.010DBroken internal right hip prosthesis, subsequent encounter
- T84.010SBroken internal right hip prosthesis, sequela
- T84.011ABroken internal left hip prosthesis, initial encounter
- T84.011DBroken internal left hip prosthesis, subsequent encounter
- T84.011SBroken internal left hip prosthesis, sequela
- T84.012ABroken internal right knee prosthesis, initial encounter
- T84.012DBroken internal right knee prosthesis, subsequent encounter
- T84.012SBroken internal right knee prosthesis, sequela
- T84.013ABroken internal left knee prosthesis, initial encounter
- T84.013DBroken internal left knee prosthesis, subsequent encounter
- T84.013SBroken internal left knee prosthesis, sequela
- T84.018ABroken internal joint prosthesis, other site, initial encounter
- T84.018DBroken internal joint prosthesis, other site, subsequent encounter
- T84.018SBroken internal joint prosthesis, other site, sequela
- T84.019ABroken internal joint prosthesis, unspecified site, initial encounter
- T84.019DBroken internal joint prosthesis, unspecified site, subsequent encounter
- T84.019SBroken internal joint prosthesis, unspecified site, sequela
T84.01 at a glance
| Code | T84.01 |
|---|---|
| Description | Broken internal joint prosthesis |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is T84.01 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to T84.01. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Complication › joint prosthesis, internal › breakage (s) (from) (of)
- Complication › joint prosthesis, internal › fracture (s) (from) (of)
- Complication › joint prosthesis, internal › mechanical › breakage, broken (s) (from) (of)
- Complication › joint prosthesis, internal › mechanical › fracture (s) (from) (of)
Excludes1 — never code together
The conditions below can never be reported together with T84.01 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- periprosthetic joint implant fracture (M97.-)
Inclusion terms
Alternative wording in documentation that is classified to T84.01.
- Breakage (fracture) of prosthetic joint
- Broken prosthetic joint implant
Use additional code — inherited from Chapter 19
Report an additional code alongside T84.01 to fully describe the condition. T84.01 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 T84.01 to fully describe the condition. T84.01 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T84.01, but a patient may have both at the same time. When documentation supports it, T84.01 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T80-T88
The conditions below are not part of T84.01, but a patient may have both at the same time. When documentation supports it, T84.01 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 T84
The conditions below are not part of T84.01, but a patient may have both at the same time. When documentation supports it, T84.01 and the excluded code may both be reported.
What codes fall under T84.01? (6)
- T84.010Broken internal right hip prosthesisnot billable
- T84.011Broken internal left hip prosthesisnot billable
- T84.012Broken internal right knee prosthesisnot billable
- T84.013Broken internal left knee prosthesisnot billable
- T84.018Broken internal joint prosthesis, other sitenot billable
- T84.019Broken internal joint prosthesis, unspecified sitenot billable
How long has T84.01 existed?
T84.01 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.
What other codes are in the T84.0 family? (5)
- T84.02Dislocation of internal joint prosthesisnot billable
- T84.03Mechanical loosening of internal prosthetic jointnot billable
- T84.05Periprosthetic osteolysis of internal prosthetic jointnot billable
- T84.06Wear of articular bearing surface of internal prosthetic jointnot billable
- T84.09Other mechanical complication of internal joint prosthesisnot billable