T85.11 — Breakdown (mechanical) of implanted electronic stimulator of nervous system
Is T85.11 billable?
No — T85.11 is a non-billable header code. T85.11 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 15 billable codes beneath T85.11.
Billable codes under this header
- 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
- T85.118ABreakdown (mechanical) of other implanted electronic stimulator of nervous system, initial encounter
- T85.118DBreakdown (mechanical) of other implanted electronic stimulator of nervous system, subsequent encounter
- T85.118SBreakdown (mechanical) of other implanted electronic stimulator of nervous system, sequela
T85.11 at a glance
| Code | T85.11 |
|---|---|
| Description | Breakdown (mechanical) of implanted electronic stimulator of nervous system |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Use additional code — inherited from Chapter 19
Report an additional code alongside T85.11 to fully describe the condition. T85.11 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 T85.11 to fully describe the condition. T85.11 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T85.11, but a patient may have both at the same time. When documentation supports it, T85.11 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T80-T88
The conditions below are not part of T85.11, but a patient may have both at the same time. When documentation supports it, T85.11 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 T85
The conditions below are not part of T85.11, but a patient may have both at the same time. When documentation supports it, T85.11 and the excluded code may both be reported.
- failure and rejection of transplanted organs and tissue (T86.-)
What codes fall under T85.11? (5)
- T85.110Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead)not billable
- T85.111Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead)not billable
- T85.112Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead)not billable
- T85.113Breakdown (mechanical) of implanted electronic neurostimulator, generatornot billable
- T85.118Breakdown (mechanical) of other implanted electronic stimulator of nervous systemnot billable
How long has T85.11 existed?
T85.11 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.