ICDcodes.org
FY2027

T84.019D — Broken internal joint prosthesis, unspecified site, subsequent encounter

BillableUnspecified

Is T84.019D billable?

Yes, but T84.019D is an unspecified code. T84.019D is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, T84.019D 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 T84.019D — the more specific alternatives are listed below.

T84.019D at a glance

CodeT84.019D
DescriptionBroken internal joint prosthesis, unspecified site, subsequent encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "D"subsequent encounter

What does the 7th character "D" mean in T84.019D?

In T84.019D, the 7th character D means subsequent encounter. The 7th character is required for T84.019D to be a valid, complete code.

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

Which MS-DRGs does T84.019D group to?

T84.019D sits in MDC 23 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.

  • 949Aftercare with CC/MCCmedical
  • 950Aftercare without CC/MCCmedical

How is T84.019D listed in the Alphabetic Index?

The Alphabetic Index lists these routes under T84.01, the nearest indexed parent of T84.019D. Use them to find the family, then select the specific code.

  • 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 — inherited from T84.01

The conditions below can never be reported together with T84.019D 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.-)

Use additional code — inherited from Chapter 19

Report an additional code alongside T84.019D to fully describe the condition. T84.019D 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 T84.019D to fully describe the condition. T84.019D 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 T84.019D, but a patient may have both at the same time. When documentation supports it, T84.019D 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 T84.019D, but a patient may have both at the same time. When documentation supports it, T84.019D 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 T84.019D, but a patient may have both at the same time. When documentation supports it, T84.019D and the excluded code may both be reported.

  • failure and rejection of transplanted organs and tissues (T86.-)
  • fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6)

How long has T84.019D existed?

T84.019D 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.