ICDcodes.org
FY2027

T85.613ABreakdown (mechanical) of artificial skin graft and decellularized allodermis, initial encounter

BillableCC

Is T85.613A billable?

Yes — T85.613A is billable for FY2027. T85.613A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T85.613A may be submitted for encounters from October 1, 2026 through September 30, 2027.

T85.613A at a glance

CodeT85.613A
DescriptionBreakdown (mechanical) of artificial skin graft and decellularized allodermis, 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 T85.613A?

In T85.613A, the 7th character A means initial encounter. The 7th character is required for T85.613A to be a valid, complete code.

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

Which MS-DRGs does T85.613A group to?

T85.613A sits in MDC 21 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 919Complications of Treatment with MCCmedical
  • 920Complications of Treatment with CCmedical
  • 921Complications of Treatment without CC/MCCmedical

As a secondary diagnosis, T85.613A is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is T85.613A listed in the Alphabetic Index?

The Alphabetic Index lists these routes under T85.613, the nearest indexed parent of T85.613A. Use them to find the family, then select the specific code.

  • Complicationprosthetic device or implantskin graftartificial skin or decellularized allodermismechanicalbreakdown (s) (from) (of)
  • Complicationprosthetic device or implantskin graftartificial skin or decellularized allodermismechanicalmalfunction (s) (from) (of)

Inclusion terms

Alternative wording in documentation that is classified to T85.613A.

  • Failure of artificial skin graft and decellularized allodermis
  • Non-adherence of artificial skin graft and decellularized allodermis
  • Poor incorporation of artificial skin graft and decellularized allodermis
  • Shearing of artificial skin graft and decellularized allodermis

Use additional code — inherited from Chapter 19

Report an additional code alongside T85.613A to fully describe the condition. T85.613A 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 T85.613A to fully describe the condition. T85.613A 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)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of T85.613A, but a patient may have both at the same time. When documentation supports it, T85.613A 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 T85.613A, but a patient may have both at the same time. When documentation supports it, T85.613A 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 T85.613A, but a patient may have both at the same time. When documentation supports it, T85.613A and the excluded code may both be reported.

  • failure and rejection of transplanted organs and tissue (T86.-)

How long has T85.613A existed?

T85.613A 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.