T85 — Complications of other internal prosthetic devices, implants and grafts
Not billable
Is T85 billable?
No — T85 is a non-billable header code. T85 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 60 billable codes beneath T85.
Billable codes under this header
- T85.9XXAUnspecified complication of internal prosthetic device, implant and graft, initial encounter
- T85.9XXDUnspecified complication of internal prosthetic device, implant and graft, subsequent encounter
- T85.9XXSUnspecified complication of internal prosthetic device, implant and graft, sequela
- T85.01XABreakdown (mechanical) of ventricular intracranial (communicating) shunt, initial encounter
- T85.01XDBreakdown (mechanical) of ventricular intracranial (communicating) shunt, subsequent encounter
- T85.01XSBreakdown (mechanical) of ventricular intracranial (communicating) shunt, sequela
- T85.02XADisplacement of ventricular intracranial (communicating) shunt, initial encounter
- T85.02XDDisplacement of ventricular intracranial (communicating) shunt, subsequent encounter
- T85.02XSDisplacement of ventricular intracranial (communicating) shunt, sequela
- T85.03XALeakage of ventricular intracranial (communicating) shunt, initial encounter
- T85.03XDLeakage of ventricular intracranial (communicating) shunt, subsequent encounter
- T85.03XSLeakage of ventricular intracranial (communicating) shunt, sequela
- T85.09XAOther mechanical complication of ventricular intracranial (communicating) shunt, initial encounter
- T85.09XDOther mechanical complication of ventricular intracranial (communicating) shunt, subsequent encounter
- T85.09XSOther mechanical complication of ventricular intracranial (communicating) shunt, sequela
- T85.21XABreakdown (mechanical) of intraocular lens, initial encounter
- T85.21XDBreakdown (mechanical) of intraocular lens, subsequent encounter
- T85.21XSBreakdown (mechanical) of intraocular lens, sequela
- T85.22XADisplacement of intraocular lens, initial encounter
- T85.22XDDisplacement of intraocular lens, subsequent encounter
- T85.22XSDisplacement of intraocular lens, sequela
- T85.29XAOther mechanical complication of intraocular lens, initial encounter
- T85.29XDOther mechanical complication of intraocular lens, subsequent encounter
- T85.29XSOther mechanical complication of intraocular lens, sequela
- T85.41XABreakdown (mechanical) of breast prosthesis and implant, initial encounter
- T85.41XDBreakdown (mechanical) of breast prosthesis and implant, subsequent encounter
- T85.41XSBreakdown (mechanical) of breast prosthesis and implant, sequela
- T85.42XADisplacement of breast prosthesis and implant, initial encounter
- T85.42XDDisplacement of breast prosthesis and implant, subsequent encounter
- T85.42XSDisplacement of breast prosthesis and implant, sequela
- T85.43XALeakage of breast prosthesis and implant, initial encounter
- T85.43XDLeakage of breast prosthesis and implant, subsequent encounter
- T85.43XSLeakage of breast prosthesis and implant, sequela
- T85.44XACapsular contracture of breast implant, initial encounter
- T85.44XDCapsular contracture of breast implant, subsequent encounter
- T85.44XSCapsular contracture of breast implant, sequela
- T85.49XAOther mechanical complication of breast prosthesis and implant, initial encounter
- T85.49XDOther mechanical complication of breast prosthesis and implant, subsequent encounter
- T85.49XSOther mechanical complication of breast prosthesis and implant, sequela
- T85.71XAInfection and inflammatory reaction due to peritoneal dialysis catheter, initial encounter
- T85.71XDInfection and inflammatory reaction due to peritoneal dialysis catheter, subsequent encounter
- T85.71XSInfection and inflammatory reaction due to peritoneal dialysis catheter, sequela
- T85.72XAInfection and inflammatory reaction due to insulin pump, initial encounter
- T85.72XDInfection and inflammatory reaction due to insulin pump, subsequent encounter
- T85.72XSInfection and inflammatory reaction due to insulin pump, sequela
- T85.79XAInfection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter
- T85.79XDInfection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, subsequent encounter
- T85.79XSInfection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, sequela
- T85.110ABreakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), initial encounter
- T85.110DBreakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), subsequent encounter
- T85.110SBreakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), sequela
- T85.111ABreakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounter
- T85.111DBreakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounter
- T85.111SBreakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequela
- T85.112ABreakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounter
- T85.112DBreakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounter
- T85.112SBreakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), sequela
- T85.113ABreakdown (mechanical) of implanted electronic neurostimulator, generator, initial encounter
- T85.113DBreakdown (mechanical) of implanted electronic neurostimulator, generator, subsequent encounter
- T85.113SBreakdown (mechanical) of implanted electronic neurostimulator, generator, sequela
T85 at a glance
| Code | T85 |
|---|---|
| Description | Complications of other internal prosthetic devices, implants and grafts |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here
The conditions below are not part of T85, but a patient may have both at the same time. When documentation supports it, T85 and the excluded code may both be reported.
- failure and rejection of transplanted organs and tissue (T86.-)
Use additional code — inherited from Chapter 19
Report an additional code alongside T85 to fully describe the condition. T85 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 T85 to fully describe the condition. T85 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T85, but a patient may have both at the same time. When documentation supports it, T85 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T80-T88
The conditions below are not part of T85, but a patient may have both at the same time. When documentation supports it, T85 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)
What codes fall under T85? (10)
- T85.0Mechanical complication of ventricular intracranial (communicating) shuntnot billable
- T85.1Mechanical complication of implanted electronic stimulator of nervous systemnot billable
- T85.2Mechanical complication of intraocular lensnot billable
- T85.3Mechanical complication of other ocular prosthetic devices, implants and graftsnot billable
- T85.4Mechanical complication of breast prosthesis and implantnot billable
- T85.5Mechanical complication of gastrointestinal prosthetic devices, implants and graftsnot billable
- T85.6Mechanical complication of other specified internal and external prosthetic devices, implants and graftsnot billable
- T85.7Infection and inflammatory reaction due to other internal prosthetic devices, implants and graftsnot billable
- T85.8Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classifiednot billable
- T85.9Unspecified complication of internal prosthetic device, implant and graftnot billable
How long has T85 existed?
T85 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.
Which codes are confused with T85?
ICD-10-CM declares these codes mutually exclusive with T85 — exactly one of each pair can be correct for a given encounter.