T85.638 — Leakage of other specified internal prosthetic devices, implants and grafts
Is T85.638 billable?
No — T85.638 is a non-billable header code. T85.638 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 3 billable codes beneath T85.638.
Billable codes under this header
T85.638 at a glance
| Code | T85.638 |
|---|---|
| Description | Leakage of other specified 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 |
How is T85.638 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to T85.638. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Leak, leakage › device, implant or graft › catheter NEC
- Leak, leakage › device, implant or graft › specified NEC
- Complication › prosthetic device or implant › specified NEC › mechanical › leakage (s) (from) (of)
Use additional code — inherited from Chapter 19
Report an additional code alongside T85.638 to fully describe the condition. T85.638 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 T85.638 to fully describe the condition. T85.638 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T85.638, but a patient may have both at the same time. When documentation supports it, T85.638 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T80-T88
The conditions below are not part of T85.638, but a patient may have both at the same time. When documentation supports it, T85.638 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 T85.638, but a patient may have both at the same time. When documentation supports it, T85.638 and the excluded code may both be reported.
- failure and rejection of transplanted organs and tissue (T86.-)
What codes fall under T85.638? (3)
How long has T85.638 existed?
T85.638 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.