T84.06 — Wear of articular bearing surface of internal prosthetic joint
Is T84.06 billable?
No — T84.06 is a non-billable header code. T84.06 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 T84.06.
Billable codes under this header
- T84.060AWear of articular bearing surface of internal prosthetic right hip joint, initial encounter
- T84.060DWear of articular bearing surface of internal prosthetic right hip joint, subsequent encounter
- T84.060SWear of articular bearing surface of internal prosthetic right hip joint, sequela
- T84.061AWear of articular bearing surface of internal prosthetic left hip joint, initial encounter
- T84.061DWear of articular bearing surface of internal prosthetic left hip joint, subsequent encounter
- T84.061SWear of articular bearing surface of internal prosthetic left hip joint, sequela
- T84.062AWear of articular bearing surface of internal prosthetic right knee joint, initial encounter
- T84.062DWear of articular bearing surface of internal prosthetic right knee joint, subsequent encounter
- T84.062SWear of articular bearing surface of internal prosthetic right knee joint, sequela
- T84.063AWear of articular bearing surface of internal prosthetic left knee joint, initial encounter
- T84.063DWear of articular bearing surface of internal prosthetic left knee joint, subsequent encounter
- T84.063SWear of articular bearing surface of internal prosthetic left knee joint, sequela
- T84.068AWear of articular bearing surface of other internal prosthetic joint, initial encounter
- T84.068DWear of articular bearing surface of other internal prosthetic joint, subsequent encounter
- T84.068SWear of articular bearing surface of other internal prosthetic joint, sequela
- T84.069AWear of articular bearing surface of unspecified internal prosthetic joint, initial encounter
- T84.069DWear of articular bearing surface of unspecified internal prosthetic joint, subsequent encounter
- T84.069SWear of articular bearing surface of unspecified internal prosthetic joint, sequela
T84.06 at a glance
| Code | T84.06 |
|---|---|
| Description | Wear of articular bearing surface of internal prosthetic joint |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is T84.06 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to T84.06. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Complication › joint prosthesis, internal › mechanical › wear of articular bearing surface › hip (s) (from) (of)
- Complication › joint prosthesis, internal › mechanical › wear of articular bearing surface › knee (s) (from) (of)
Use additional code — inherited from Chapter 19
Report an additional code alongside T84.06 to fully describe the condition. T84.06 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 T84.06 to fully describe the condition. T84.06 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T84.06, but a patient may have both at the same time. When documentation supports it, T84.06 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T80-T88
The conditions below are not part of T84.06, but a patient may have both at the same time. When documentation supports it, T84.06 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 T84.06, but a patient may have both at the same time. When documentation supports it, T84.06 and the excluded code may both be reported.
What codes fall under T84.06? (6)
- T84.060Wear of articular bearing surface of internal prosthetic right hip jointnot billable
- T84.061Wear of articular bearing surface of internal prosthetic left hip jointnot billable
- T84.062Wear of articular bearing surface of internal prosthetic right knee jointnot billable
- T84.063Wear of articular bearing surface of internal prosthetic left knee jointnot billable
- T84.068Wear of articular bearing surface of other internal prosthetic jointnot billable
- T84.069Wear of articular bearing surface of unspecified internal prosthetic jointnot billable
How long has T84.06 existed?
T84.06 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)
- T84.01Broken internal joint prosthesisnot billable
- T84.02Dislocation of internal joint prosthesisnot billable
- T84.03Mechanical loosening of internal prosthetic jointnot billable
- T84.05Periprosthetic osteolysis of internal prosthetic jointnot billable
- T84.09Other mechanical complication of internal joint prosthesisnot billable