Use additional 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

  • 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)
  1. T85 Complications of other internal prosthetic devices, implants and grafts

    Excludes2

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

    The appropriate 7th character is to be added to each code from category T85

    • A - initial encounter
    • D - subsequent encounter
    • S - sequela
    1. T85.0 Mechanical complication of ventricular intracranial (communicating) shunt

      1. T85.01 Breakdown (mechanical) of ventricular intracranial (communicating) shunt

      2. T85.02 Displacement of ventricular intracranial (communicating) shunt

        Inclusion term(s):

        • Malposition of ventricular intracranial (communicating) shunt
      3. T85.03 Leakage of ventricular intracranial (communicating) shunt

      4. T85.09 Other mechanical complication of ventricular intracranial (communicating) shunt

        Inclusion term(s):

        • Obstruction (mechanical) of ventricular intracranial (communicating) shunt
        • Perforation of ventricular intracranial (communicating) shunt
        • Protrusion of ventricular intracranial (communicating) shunt
    2. T85.1 Mechanical complication of implanted electronic stimulator of nervous system

      1. T85.11 Breakdown (mechanical) of implanted electronic stimulator of nervous system

        • T85.110 Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead)
        • T85.111 Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead)

          Inclusion term(s):

          • Breakdown of electrode (lead) for cranial nerve neurostimulators
          • Breakdown of electrode (lead) for gastric neurostimulator
          • Breakdown of electrode (lead) for sacral nerve neurostimulator
          • Breakdown of electrode (lead) for vagal nerve neurostimulators
        • T85.112 Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead)
        • T85.113 Breakdown (mechanical) of implanted electronic neurostimulator, generator

          Inclusion term(s):

          • Breakdown (mechanical) of implanted electronic neurostimulator generator, brain, peripheral, gastric, spinal
          • Breakdown (mechanical) of implanted electronic sacral neurostimulator, pulse generator or receiver
        • T85.118 Breakdown (mechanical) of other implanted electronic stimulator of nervous system
      2. T85.12 Displacement of implanted electronic stimulator of nervous system

        Inclusion term(s):

        • Malposition of implanted electronic stimulator of nervous system
        • T85.120 Displacement of implanted electronic neurostimulator of brain electrode (lead)
        • T85.121 Displacement of implanted electronic neurostimulator of peripheral nerve electrode (lead)

          Inclusion term(s):

          • Displacement of electrode (lead) for cranial nerve neurostimulators
          • Displacement of electrode (lead) for gastric neurostimulator
          • Displacement of electrode (lead) for sacral nerve neurostimulator
          • Displacement of electrode (lead) for vagal nerve neurostimulators
        • T85.122 Displacement of implanted electronic neurostimulator of spinal cord electrode (lead)
        • T85.123 Displacement of implanted electronic neurostimulator, generator

          Inclusion term(s):

          • Displacement of implanted electronic neurostimulator generator, brain, peripheral, gastric, spinal
          • Displacement of implanted electronic sacral neurostimulator, pulse generator or receiver
        • T85.128 Displacement of other implanted electronic stimulator of nervous system
      3. T85.19 Other mechanical complication of implanted electronic stimulator of nervous system

        Inclusion term(s):

        • Leakage of implanted electronic stimulator of nervous system
        • Obstruction (mechanical) of implanted electronic stimulator of nervous system
        • Perforation of implanted electronic stimulator of nervous system
        • Protrusion of implanted electronic stimulator of nervous system
        • T85.190 Other mechanical complication of implanted electronic neurostimulator of brain electrode (lead)
        • T85.191 Other mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead)

          Inclusion term(s):

          • Other mechanical complication of electrode (lead) for cranial nerve neurostimulators
          • Other mechanical complication of electrode (lead) for gastric neurostimulator
          • Other mechanical complication of electrode (lead) for sacral nerve neurostimulator
          • Other mechanical complication of electrode (lead) for vagal nerve neurostimulators
        • T85.192 Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead)
        • T85.193 Other mechanical complication of implanted electronic neurostimulator, generator

          Inclusion term(s):

          • Other mechanical complication of implanted electronic neurostimulator generator, brain, peripheral, gastric, spinal
          • Other mechanical complication of implanted electronic sacral neurostimulator, pulse generator or receiver
        • T85.199 Other mechanical complication of other implanted electronic stimulator of nervous system
    3. T85.2 Mechanical complication of intraocular lens

      1. T85.21 Breakdown (mechanical) of intraocular lens

      2. T85.22 Displacement of intraocular lens

        Inclusion term(s):

        • Malposition of intraocular lens
      3. T85.29 Other mechanical complication of intraocular lens

        Inclusion term(s):

        • Obstruction (mechanical) of intraocular lens
        • Perforation of intraocular lens
        • Protrusion of intraocular lens
    4. T85.3 Mechanical complication of other ocular prosthetic devices, implants and grafts

      1. T85.31 Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts

        • T85.310 Breakdown (mechanical) of prosthetic orbit of right eye
        • T85.311 Breakdown (mechanical) of prosthetic orbit of left eye
        • T85.318 Breakdown (mechanical) of other ocular prosthetic devices, implants and grafts
      2. T85.32 Displacement of other ocular prosthetic devices, implants and grafts

        Inclusion term(s):

        • Malposition of other ocular prosthetic devices, implants and grafts
        • T85.320 Displacement of prosthetic orbit of right eye
        • T85.321 Displacement of prosthetic orbit of left eye
        • T85.328 Displacement of other ocular prosthetic devices, implants and grafts
      3. T85.39 Other mechanical complication of other ocular prosthetic devices, implants and grafts

        Inclusion term(s):

        • Obstruction (mechanical) of other ocular prosthetic devices, implants and grafts
        • Perforation of other ocular prosthetic devices, implants and grafts
        • Protrusion of other ocular prosthetic devices, implants and grafts
        • T85.390 Other mechanical complication of prosthetic orbit of right eye
        • T85.391 Other mechanical complication of prosthetic orbit of left eye
        • T85.398 Other mechanical complication of other ocular prosthetic devices, implants and grafts
    5. T85.4 Mechanical complication of breast prosthesis and implant

      1. T85.41 Breakdown (mechanical) of breast prosthesis and implant

      2. T85.42 Displacement of breast prosthesis and implant

        Inclusion term(s):

        • Malposition of breast prosthesis and implant
      3. T85.43 Leakage of breast prosthesis and implant

      4. T85.44 Capsular contracture of breast implant

      5. T85.49 Other mechanical complication of breast prosthesis and implant

        Inclusion term(s):

        • Obstruction (mechanical) of breast prosthesis and implant
        • Perforation of breast prosthesis and implant
        • Protrusion of breast prosthesis and implant
    6. T85.5 Mechanical complication of gastrointestinal prosthetic devices, implants and grafts

      1. T85.51 Breakdown (mechanical) of gastrointestinal prosthetic devices, implants and grafts

        • T85.510 Breakdown (mechanical) of bile duct prosthesis
        • T85.511 Breakdown (mechanical) of esophageal anti-reflux device
        • T85.518 Breakdown (mechanical) of other gastrointestinal prosthetic devices, implants and grafts
      2. T85.52 Displacement of gastrointestinal prosthetic devices, implants and grafts

        Inclusion term(s):

        • Malposition of gastrointestinal prosthetic devices, implants and grafts
        • T85.520 Displacement of bile duct prosthesis
        • T85.521 Displacement of esophageal anti-reflux device
        • T85.528 Displacement of other gastrointestinal prosthetic devices, implants and grafts
      3. T85.59 Other mechanical complication of gastrointestinal prosthetic devices, implants and

        Inclusion term(s):

        • Obstruction, mechanical of gastrointestinal prosthetic devices, implants and grafts
        • Perforation of gastrointestinal prosthetic devices, implants and grafts
        • Protrusion of gastrointestinal prosthetic devices, implants and grafts
        • T85.590 Other mechanical complication of bile duct prosthesis
        • T85.591 Other mechanical complication of esophageal anti-reflux device
        • T85.598 Other mechanical complication of other gastrointestinal prosthetic devices, implants and grafts
    7. T85.6 Mechanical complication of other specified internal and external prosthetic devices, implants and grafts

      1. T85.61 Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts

        • T85.610 Breakdown (mechanical) of cranial or spinal infusion catheter

          Inclusion term(s):

          • Breakdown (mechanical) of epidural infusion catheter
          • Breakdown (mechanical) of intrathecal infusion catheter
          • Breakdown (mechanical) of subarachnoid infusion catheter
          • Breakdown (mechanical) of subdural infusion catheter
        • T85.611 Breakdown (mechanical) of intraperitoneal dialysis catheter
        • T85.612 Breakdown (mechanical) of permanent sutures
        • T85.613 Breakdown (mechanical) of artificial skin graft and decellularized allodermis

          Inclusion term(s):

          • 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
        • T85.614 Breakdown (mechanical) of insulin pump
        • T85.615 Breakdown (mechanical) of other nervous system device, implant or graft

          Inclusion term(s):

          • Breakdown (mechanical) of intrathecal infusion pump
        • T85.618 Breakdown (mechanical) of other specified internal prosthetic devices, implants and grafts
      2. T85.62 Displacement of other specified internal prosthetic devices, implants and grafts

        Inclusion term(s):

        • Malposition of other specified internal prosthetic devices, implants and grafts
        • T85.620 Displacement of cranial or spinal infusion catheter

          Inclusion term(s):

          • Displacement of epidural infusion catheter
          • Displacement of intrathecal infusion catheter
          • Displacement of subarachnoid infusion catheter
          • Displacement of subdural infusion catheter
        • T85.621 Displacement of intraperitoneal dialysis catheter
        • T85.622 Displacement of permanent sutures
        • T85.623 Displacement of artificial skin graft and decellularized allodermis

          Inclusion term(s):

          • Dislodgement of artificial skin graft and decellularized allodermis
        • T85.624 Displacement of insulin pump
        • T85.625 Displacement of other nervous system device, implant or graft

          Inclusion term(s):

          • Displacement of intrathecal infusion pump
        • T85.628 Displacement of other specified internal prosthetic devices, implants and grafts
      3. T85.63 Leakage of other specified internal prosthetic devices, implants and grafts

        • T85.630 Leakage of cranial or spinal infusion catheter

          Inclusion term(s):

          • Leakage of epidural infusion catheter
          • Leakage of intrathecal infusion catheter infusion catheter
          • Leakage of subdural infusion catheter
          • Leakage of subarachnoid infusion catheter
        • T85.631 Leakage of intraperitoneal dialysis catheter
        • T85.633 Leakage of insulin pump
        • T85.635 Leakage of other nervous system device, implant or graft

          Inclusion term(s):

          • Leakage of intrathecal infusion pump
        • T85.638 Leakage of other specified internal prosthetic devices, implants and grafts
      4. T85.69 Other mechanical complication of other specified internal prosthetic devices, implants and grafts

        Inclusion term(s):

        • Obstruction, mechanical of other specified internal prosthetic devices, implants and grafts
        • Perforation of other specified internal prosthetic devices, implants and grafts
        • Protrusion of other specified internal prosthetic devices, implants and grafts
        • T85.690 Other mechanical complication of cranial or spinal infusion catheter

          Inclusion term(s):

          • Other mechanical complication of epidural infusion catheter
          • Other mechanical complication of intrathecal infusion catheter
          • Other mechanical complication of subarachnoid infusion catheter
          • Other mechanical complication of subdural infusion catheter
        • T85.691 Other mechanical complication of intraperitoneal dialysis catheter
        • T85.692 Other mechanical complication of permanent sutures
        • T85.693 Other mechanical complication of artificial skin graft and decellularized allodermis
        • T85.694 Other mechanical complication of insulin pump
        • T85.695 Other mechanical complication of other nervous system device, implant or graft

          Inclusion term(s):

          • Other mechanical complication of intrathecal infusion pump
        • T85.698 Other mechanical complication of other specified internal prosthetic devices, implants and grafts

          Inclusion term(s):

          • Mechanical complication of nonabsorbable surgical material NOS
    8. T85.7 Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts

      1. T85.71 Infection and inflammatory reaction due to peritoneal dialysis catheter

      2. T85.72 Infection and inflammatory reaction due to insulin pump

      3. T85.73 Infection and inflammatory reaction due to nervous system devices, implants and graft

        • T85.730 Infection and inflammatory reaction due to ventricular intracranial (communicating) shunt
        • T85.731 Infection and inflammatory reaction due to implanted electronic neurostimulator of brain, electrode (lead)
        • T85.732 Infection and inflammatory reaction due to implanted electronic neurostimulator of peripheral nerve, electrode (lead)

          Inclusion term(s):

          • Infection and inflammatory reaction due to electrode (lead) for cranial nerve neurostimulators
          • Infection and inflammatory reaction due to electrode (lead) for gastric neurostimulator
          • Infection and inflammatory reaction due to electrode (lead) for sacral nerve neurostimulator
          • Infection and inflammatory reaction due to electrode (lead) for vagal nerve neurostimulators
        • T85.733 Infection and inflammatory reaction due to implanted electronic neurostimulator of spinal cord, electrode (lead)
        • T85.734 Infection and inflammatory reaction due to implanted electronic neurostimulator, generator

          Inclusion term(s):

          • Generator pocket infection
        • T85.735 Infection and inflammatory reaction due to cranial or spinal infusion catheter

          Inclusion term(s):

          • Infection and inflammatory reaction due to epidural catheter
          • Infection and inflammatory reaction due to intrathecal infusion catheter
          • Infection and inflammatory reaction due to subarachnoid catheter
          • Infection and inflammatory reaction due to subdural catheter
        • T85.738 Infection and inflammatory reaction due to other nervous system device, implant or graft

          Inclusion term(s):

          • Infection and inflammatory reaction due to intrathecal infusion pump
      4. T85.79 Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts

    9. T85.8 Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classified

      1. T85.81 Embolism due to internal prosthetic devices, implants and grafts, not elsewhere classified

        • T85.810 Embolism due to nervous system prosthetic devices, implants and grafts
        • T85.818 Embolism due to other internal prosthetic devices, implants and grafts
      2. T85.82 Fibrosis due to internal prosthetic devices, implants and grafts, not elsewhere classified

        • T85.820 Fibrosis due to nervous system prosthetic devices, implants and grafts
        • T85.828 Fibrosis due to other internal prosthetic devices, implants and grafts
      3. T85.83 Hemorrhage due to internal prosthetic devices, implants and grafts, not elsewhere classified

        • T85.830 Hemorrhage due to nervous system prosthetic devices, implants and grafts
        • T85.838 Hemorrhage due to other internal prosthetic devices, implants and grafts
      4. T85.84 Pain due to internal prosthetic devices, implants and grafts, not elsewhere classified

        • T85.840 Pain due to nervous system prosthetic devices, implants and grafts
        • T85.848 Pain due to other internal prosthetic devices, implants and grafts
      5. T85.85 Stenosis due to internal prosthetic devices, implants and grafts, not elsewhere classified

        • T85.850 Stenosis due to nervous system prosthetic devices, implants and grafts
        • T85.858 Stenosis due to other internal prosthetic devices, implants and grafts
      6. T85.86 Thrombosis due to internal prosthetic devices, implants and grafts, not elsewhere classified

        • T85.860 Thrombosis due to nervous system prosthetic devices, implants and grafts
        • T85.868 Thrombosis due to other internal prosthetic devices, implants and grafts
      7. T85.89 Other specified complication of internal prosthetic devices, implants and grafts, not elsewhere classified

        Inclusion term(s):

        • Erosion or breakdown of subcutaneous device pocket
        • T85.890 Other specified complication of nervous system prosthetic devices, implants and grafts
        • T85.898 Other specified complication of other internal prosthetic devices, implants and grafts
    10. T85.9 Unspecified complication of internal prosthetic device, implant and graft

      Inclusion term(s):

      • Complication of internal prosthetic device, implant and graft NOS
Abbreviations used here:

NEC Not elsewhere classifiable
This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.

NOS Not otherwise specified
This abbreviation is the equivalent of unspecified.