T85.631A — Leakage of intraperitoneal dialysis catheter, initial encounter
Is T85.631A billable?
Yes — T85.631A is billable for FY2027. T85.631A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T85.631A may be submitted for encounters from October 1, 2026 through September 30, 2027.
T85.631A at a glance
| Code | T85.631A |
|---|---|
| Description | Leakage of intraperitoneal dialysis catheter, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in T85.631A?
In T85.631A, the 7th character A means initial encounter. The 7th character is required for T85.631A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T85.631A group to?
T85.631A 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, T85.631A is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is T85.631A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under T85.631, the nearest indexed parent of T85.631A. Use them to find the family, then select the specific code.
- Complication › catheterNEC › intraperitoneal dialysis › mechanical › leakage (s) (from) (of)
- Leak, leakage › device, implant or graft › catheter NEC › dialysis › intraperitoneal
Excludes1 — never code together
The conditions below can never be reported together with T85.631A on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- mechanical complication of vascular dialysis catheter (T82.4)
Excludes1 — never code together — inherited from T85.631
The conditions below can never be reported together with T85.631A on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- mechanical complication of vascular dialysis catheter (T82.4)
Use additional code — inherited from Chapter 19
Report an additional code alongside T85.631A to fully describe the condition. T85.631A 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 T85.631A to fully describe the condition. T85.631A is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T85.631A, but a patient may have both at the same time. When documentation supports it, T85.631A and the excluded code may both be reported.
Excludes2 — not included here — inherited from T80-T88
The conditions below are not part of T85.631A, but a patient may have both at the same time. When documentation supports it, T85.631A 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 T85.631A, but a patient may have both at the same time. When documentation supports it, T85.631A and the excluded code may both be reported.
- failure and rejection of transplanted organs and tissue (T86.-)
How long has T85.631A existed?
T85.631A 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.