ICDcodes.org
FY2027

T84.52XA — Infection and inflammatory reaction due to internal left hip prosthesis, initial encounter

BillableCC

Is T84.52XA billable?

Yes — T84.52XA is billable for FY2027. T84.52XA is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T84.52XA may be submitted for encounters from October 1, 2026 through September 30, 2027.

T84.52XA at a glance

CodeT84.52XA
DescriptionInfection and inflammatory reaction due to internal left hip prosthesis, initial encounter
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "A"initial encounter

What does the 7th character "A" mean in T84.52XA?

In T84.52XA, the 7th character A means initial encounter. The 7th character is required for T84.52XA to be a valid, complete code.

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

Which MS-DRGs does T84.52XA group to?

T84.52XA sits in MDC 08 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.

  • 403Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection with MCC or Insertion of Antibiotic-eluting Bone Void Fillersurgical
  • 404Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection without MCCsurgical

As a secondary diagnosis, T84.52XA is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is T84.52XA listed in the Alphabetic Index?

The Alphabetic Index lists these routes under T84.52, the nearest indexed parent of T84.52XA. Use them to find the family, then select the specific code.

  • Infection, infected, infective › hipNEC › due to internal joint prosthesis › left (opportunistic)

Use additional code — inherited from Chapter 19

Report an additional code alongside T84.52XA to fully describe the condition. T84.52XA 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 T84.52XA to fully describe the condition. T84.52XA 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)

Use additional code — inherited from T84.5

Report an additional code alongside T84.52XA to fully describe the condition. T84.52XA is sequenced first.

  • code to identify infection

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of T84.52XA, but a patient may have both at the same time. When documentation supports it, T84.52XA 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 T84.52XA, but a patient may have both at the same time. When documentation supports it, T84.52XA 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 T84.52XA, but a patient may have both at the same time. When documentation supports it, T84.52XA 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 T84.52XA existed?

T84.52XA 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.