ICDcodes.org
FY2027

T85.694 — Other mechanical complication of insulin pump

Not billable

Is T85.694 billable?

No — T85.694 is a non-billable header code. T85.694 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 T85.694.

T85.694 at a glance

CodeT85.694
DescriptionOther mechanical complication of insulin pump
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

How is T85.694 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to T85.694. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Complication › insulin pump › mechanical › obstruction (s) (from) (of)
  • Complication › insulin pump › mechanical › perforation (s) (from) (of)
  • Complication › insulin pump › mechanical › protrusion (s) (from) (of)
  • Complication › insulin pump › mechanical › specified NEC (s) (from) (of)

Use additional code — inherited from Chapter 19

Report an additional code alongside T85.694 to fully describe the condition. T85.694 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 T85.694 to fully describe the condition. T85.694 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 T85.694, but a patient may have both at the same time. When documentation supports it, T85.694 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 T85.694, but a patient may have both at the same time. When documentation supports it, T85.694 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 T85.694, but a patient may have both at the same time. When documentation supports it, T85.694 and the excluded code may both be reported.

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

What codes fall under T85.694? (3)

How long has T85.694 existed?

T85.694 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.

What other codes are in the T85.69 family? (6)