T85.7 — Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts
Is T85.7 billable?
No — T85.7 is a non-billable header code. T85.7 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 30 billable codes beneath T85.7.
Billable codes under this header
- T85.71XAInfection and inflammatory reaction due to peritoneal dialysis catheter, initial encounter
- T85.71XDInfection and inflammatory reaction due to peritoneal dialysis catheter, subsequent encounter
- T85.71XSInfection and inflammatory reaction due to peritoneal dialysis catheter, sequela
- T85.72XAInfection and inflammatory reaction due to insulin pump, initial encounter
- T85.72XDInfection and inflammatory reaction due to insulin pump, subsequent encounter
- T85.72XSInfection and inflammatory reaction due to insulin pump, sequela
- T85.79XAInfection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter
- T85.79XDInfection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, subsequent encounter
- T85.79XSInfection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, sequela
- T85.730AInfection and inflammatory reaction due to ventricular intracranial (communicating) shunt, initial encounter
- T85.730DInfection and inflammatory reaction due to ventricular intracranial (communicating) shunt, subsequent encounter
- T85.730SInfection and inflammatory reaction due to ventricular intracranial (communicating) shunt, sequela
- T85.731AInfection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), initial encounter
- T85.731DInfection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), subsequent encounter
- T85.731SInfection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead), sequela
- T85.732AInfection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), initial encounter
- T85.732DInfection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), subsequent encounter
- T85.732SInfection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead), sequela
- T85.733AInfection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), initial encounter
- T85.733DInfection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), subsequent encounter
- T85.733SInfection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead), sequela
- T85.734AInfection and inflammatory reaction due to implanted electronic neurostimulator, generator, initial encounter
- T85.734DInfection and inflammatory reaction due to implanted electronic neurostimulator, generator, subsequent encounter
- T85.734SInfection and inflammatory reaction due to implanted electronic neurostimulator, generator, sequela
- T85.735AInfection and inflammatory reaction due to cranial or spinal infusion catheter, initial encounter
- T85.735DInfection and inflammatory reaction due to cranial or spinal infusion catheter, subsequent encounter
- T85.735SInfection and inflammatory reaction due to cranial or spinal infusion catheter, sequela
- T85.738AInfection and inflammatory reaction due to other nervous system device, implant or graft, initial encounter
- T85.738DInfection and inflammatory reaction due to other nervous system device, implant or graft, subsequent encounter
- T85.738SInfection and inflammatory reaction due to other nervous system device, implant or graft, sequela
T85.7 at a glance
| Code | T85.7 |
|---|---|
| Description | Infection and inflammatory reaction due to other 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 |
Use additional code
Report an additional code alongside T85.7 to fully describe the condition. T85.7 is sequenced first.
- code to identify infection
Use additional code — inherited from Chapter 19
Report an additional code alongside T85.7 to fully describe the condition. T85.7 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 T85.7 to fully describe the condition. T85.7 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T85.7, but a patient may have both at the same time. When documentation supports it, T85.7 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T80-T88
The conditions below are not part of T85.7, but a patient may have both at the same time. When documentation supports it, T85.7 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 T85.7, but a patient may have both at the same time. When documentation supports it, T85.7 and the excluded code may both be reported.
- failure and rejection of transplanted organs and tissue (T86.-)
What codes fall under T85.7? (4)
- T85.71Infection and inflammatory reaction due to peritoneal dialysis catheternot billable
- T85.72Infection and inflammatory reaction due to insulin pumpnot billable
- T85.73Infection and inflammatory reaction due to nervous system devices, implants and graftnot billable
- T85.79Infection and inflammatory reaction due to other internal prosthetic devices, implants and graftsnot billable
How long has T85.7 existed?
T85.7 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 family? (9)
- T85.0Mechanical complication of ventricular intracranial (communicating) shuntnot billable
- T85.1Mechanical complication of implanted electronic stimulator of nervous systemnot billable
- T85.2Mechanical complication of intraocular lensnot billable
- T85.3Mechanical complication of other ocular prosthetic devices, implants and graftsnot billable
- T85.4Mechanical complication of breast prosthesis and implantnot billable
- T85.5Mechanical complication of gastrointestinal prosthetic devices, implants and graftsnot billable
- T85.6Mechanical complication of other specified internal and external prosthetic devices, implants and graftsnot billable
- T85.8Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classifiednot billable
- T85.9Unspecified complication of internal prosthetic device, implant and graftnot billable