T84.019S — Broken internal joint prosthesis, unspecified site, sequela
Is T84.019S billable?
Yes, but T84.019S is an unspecified code. T84.019S is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, T84.019S 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 T84.019S — the more specific alternatives are listed below.
T84.019S at a glance
| Code | T84.019S |
|---|---|
| Description | Broken internal joint prosthesis, unspecified site, sequela |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "S" | sequela |
What does the 7th character "S" mean in T84.019S?
In T84.019S, the 7th character S means sequela. The 7th character is required for T84.019S to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T84.019S group to?
T84.019S sits in MDC 21 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.
- 922Other Injury, Poisoning and Toxic Effect Diagnoses with MCCmedical
- 923Other Injury, Poisoning and Toxic Effect Diagnoses without MCCmedical
How is T84.019S listed in the Alphabetic Index?
The Alphabetic Index lists these routes under T84.01, the nearest indexed parent of T84.019S. 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 T84.019S 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 T84.019S to fully describe the condition. T84.019S 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 T84.019S to fully describe the condition. T84.019S is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T84.019S, but a patient may have both at the same time. When documentation supports it, T84.019S and the excluded code may both be reported.
Excludes2 — not included here — inherited from T80-T88
The conditions below are not part of T84.019S, but a patient may have both at the same time. When documentation supports it, T84.019S 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 T84.019S, but a patient may have both at the same time. When documentation supports it, T84.019S and the excluded code may both be reported.
How long has T84.019S existed?
T84.019S 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.