T85.49BevorstehendKategorie · weitere Spezifizierung erforderlich

Other mechanical complication of breast prosthesis and implant

Kapitel 19 · Hinweise übergeordneter Ebenen

Use additional code

code to identify any retained foreign body, if applicable (Z18.-)

T80-T88 · Hinweise übergeordneter Ebenen

Use additional code

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)

T85 · Hinweise übergeordneter Ebenen

A — initial encounter

D — subsequent encounter

S — sequela

Excludes 2 · 24

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

birth trauma (P10-P15)
obstetric trauma (O70-O71)

T80-T88 · Complications of surgical and medical care, not elsewhere classified (T80-T88)

Excludes 2

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)

T85 · Complications of other internal prosthetic devices, implants and grafts

Excludes 2

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

Spezifischere Codes

T85.49XAOther mechanical complication of breast prosthesis and implant, initial encounter T85.49XDOther mechanical complication of breast prosthesis and implant, subsequent encounter T85.49XSOther mechanical complication of breast prosthesis and implant, sequela

Abrechnung und Kostenübernahme

Wann ICD-10-CM vorgeschrieben ist

Für US-Diagnoseabrechnungen nach HIPAA ist ICD-10-CM seit dem 1. Oktober 2015 vorgeschrieben.

Für ambulante und ärztliche Abrechnungen gilt das Leistungsdatum, für stationäre Krankenhausfälle das Entlassungsdatum. Frühere Behandlungen verwenden ICD-9-CM; auch der einzelne Code muss am maßgeblichen Datum gültig sein.

Offizielle Kodierrichtlinien → · CMS ↗

Erstmals erfasst · 2015-10-01

Codeverlauf

Letzte erfasste Änderung · FY2025 · 04-01

GeändertUnverändert

FY2025 · 04-01

Gültig ab 2025-04-01

Übergeordnete Hinweise geändert

Other mechanical complication of breast prosthesis and implant

Kategorie — spezifischeren Code auswählen

CDC/NCHS · FY2025 · 04-01

Alle Ausgaben (19)

Alle Ausgaben	Gültig ab	Codeverlauf
FY2016	2015-10-01	Erstmals erfasst
FY2017	2016-10-01	Übergeordnete Hinweise geändert
FY2018	2017-10-01	Keine tabellarische Änderung
FY2019	2018-10-01	Keine tabellarische Änderung
FY2020	2019-10-01	Keine tabellarische Änderung
FY2020 · April	2020-04-01	Keine tabellarische Änderung
FY2021	2020-10-01	Keine tabellarische Änderung
FY2021 · 01-01	2021-01-01	Keine tabellarische Änderung
FY2022	2021-10-01	Keine tabellarische Änderung
FY2022 · 04-01	2022-04-01	Keine tabellarische Änderung
FY2023	2022-10-01	Keine tabellarische Änderung
FY2023 · 04-01	2023-04-01	Keine tabellarische Änderung
FY2024	2023-10-01	Keine tabellarische Änderung
FY2024 · 04-01	2024-04-01	Keine tabellarische Änderung
FY2025	2024-10-01	Keine tabellarische Änderung
FY2025 · 04-01	2025-04-01	Übergeordnete Hinweise geändert
FY2026	2025-10-01	Keine tabellarische Änderung
FY2026 · April	2026-04-01	Keine tabellarische Änderung
FY2027	2026-10-01	Keine tabellarische Änderung

Hinweise zum Code

Inclusion terms

Obstruction (mechanical) of breast prosthesis and implant
Perforation of breast prosthesis and implant
Protrusion of breast prosthesis and implant

Hinweise übergeordneter Ebenen

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

birth trauma (P10-P15)
obstetric trauma (O70-O71)

Use additional code

code to identify any retained foreign body, if applicable (Z18.-)

Note

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

T80-T88 · Complications of surgical and medical care, not elsewhere classified (T80-T88)

Excludes 2

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)

Use additional code

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)

T85 · Complications of other internal prosthetic devices, implants and grafts

Excludes 2

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

Seventh character

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

A — initial encounter

D — subsequent encounter

S — sequela

Spezifischere Codes

T85.49XAOther mechanical complication of breast prosthesis and implant, initial encounterAbrechenbarer, spezifischer Code T85.49XDOther mechanical complication of breast prosthesis and implant, subsequent encounterAbrechenbarer, spezifischer Code T85.49XSOther mechanical complication of breast prosthesis and implant, sequelaAbrechenbarer, spezifischer Code

Verweise im offiziellen Index (7)

Complication(s) (from) (of) (4)

Complication(s) (from) (of) › breast implant(prosthetic) › mechanical › obstructionKrankheitsverzeichnis
Complication(s) (from) (of) › breast implant(prosthetic) › mechanical › perforationKrankheitsverzeichnis
Complication(s) (from) (of) › breast implant(prosthetic) › mechanical › protrusionKrankheitsverzeichnis
Complication(s) (from) (of) › breast implant(prosthetic) › mechanical › specified NECKrankheitsverzeichnis

Perforation, perforated(nontraumatic) (of) (1)

Perforation, perforated(nontraumatic) (of) › by › device, implant or graft › breast(implant)Krankheitsverzeichnis

Prolapse, prolapsed (1)

Prolapse, prolapsed › breast implant(prosthetic)Krankheitsverzeichnis

Protrusion, protrusio (1)

Protrusion, protrusio › device, implant or graft › breast(implant)Krankheitsverzeichnis

Other mechanical complication of breast prosthesis and implant

Kapitel 19 · Hinweise übergeordneter Ebenen

Use additional code

code to identify any retained foreign body, if applicable (Z18.-)

T80-T88 · Hinweise übergeordneter Ebenen

Use additional code

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)

T85 · Hinweise übergeordneter Ebenen

A — initial encounter

D — subsequent encounter

S — sequela

Excludes 2 · 24

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

birth trauma (P10-P15)
obstetric trauma (O70-O71)

T80-T88 · Complications of surgical and medical care, not elsewhere classified (T80-T88)

Excludes 2

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)

T85 · Complications of other internal prosthetic devices, implants and grafts

Excludes 2

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

Spezifischere Codes

Abrechnung und Kostenübernahme

Wann ICD-10-CM vorgeschrieben ist

Für US-Diagnoseabrechnungen nach HIPAA ist ICD-10-CM seit dem 1. Oktober 2015 vorgeschrieben.

Offizielle Kodierrichtlinien → · CMS ↗

Erstmals erfasst · 2015-10-01

Codeverlauf

Letzte erfasste Änderung · FY2025 · 04-01

GeändertUnverändert

FY2025 · 04-01

Gültig ab 2025-04-01

Übergeordnete Hinweise geändert

Other mechanical complication of breast prosthesis and implant

Kategorie — spezifischeren Code auswählen

CDC/NCHS · FY2025 · 04-01

Alle Ausgaben (19)

Alle Ausgaben	Gültig ab	Codeverlauf
FY2016	2015-10-01	Erstmals erfasst
FY2017	2016-10-01	Übergeordnete Hinweise geändert
FY2018	2017-10-01	Keine tabellarische Änderung
FY2019	2018-10-01	Keine tabellarische Änderung
FY2020	2019-10-01	Keine tabellarische Änderung
FY2020 · April	2020-04-01	Keine tabellarische Änderung
FY2021	2020-10-01	Keine tabellarische Änderung
FY2021 · 01-01	2021-01-01	Keine tabellarische Änderung
FY2022	2021-10-01	Keine tabellarische Änderung
FY2022 · 04-01	2022-04-01	Keine tabellarische Änderung
FY2023	2022-10-01	Keine tabellarische Änderung
FY2023 · 04-01	2023-04-01	Keine tabellarische Änderung
FY2024	2023-10-01	Keine tabellarische Änderung
FY2024 · 04-01	2024-04-01	Keine tabellarische Änderung
FY2025	2024-10-01	Keine tabellarische Änderung
FY2025 · 04-01	2025-04-01	Übergeordnete Hinweise geändert
FY2026	2025-10-01	Keine tabellarische Änderung
FY2026 · April	2026-04-01	Keine tabellarische Änderung
FY2027	2026-10-01	Keine tabellarische Änderung

Hinweise zum Code

Inclusion terms

Obstruction (mechanical) of breast prosthesis and implant
Perforation of breast prosthesis and implant
Protrusion of breast prosthesis and implant

Hinweise übergeordneter Ebenen

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

birth trauma (P10-P15)
obstetric trauma (O70-O71)

Use additional code

code to identify any retained foreign body, if applicable (Z18.-)

Note

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

T80-T88 · Complications of surgical and medical care, not elsewhere classified (T80-T88)

Excludes 2

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)

Use additional code

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)

T85 · Complications of other internal prosthetic devices, implants and grafts

Excludes 2

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

Seventh character

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

A — initial encounter

D — subsequent encounter

S — sequela

Spezifischere Codes

Verweise im offiziellen Index (7)

Complication(s) (from) (of) (4)

Complication(s) (from) (of) › breast implant(prosthetic) › mechanical › obstructionKrankheitsverzeichnis
Complication(s) (from) (of) › breast implant(prosthetic) › mechanical › perforationKrankheitsverzeichnis
Complication(s) (from) (of) › breast implant(prosthetic) › mechanical › protrusionKrankheitsverzeichnis
Complication(s) (from) (of) › breast implant(prosthetic) › mechanical › specified NECKrankheitsverzeichnis

Perforation, perforated(nontraumatic) (of) (1)

Perforation, perforated(nontraumatic) (of) › by › device, implant or graft › breast(implant)Krankheitsverzeichnis

Prolapse, prolapsed (1)

Prolapse, prolapsed › breast implant(prosthetic)Krankheitsverzeichnis

Protrusion, protrusio (1)

Protrusion, protrusio › device, implant or graft › breast(implant)Krankheitsverzeichnis

Code	Beschreibung	Kategorie · weitere Spezifizierung erforderlich
T85.41	Breakdown (mechanical) of breast prosthesis and implant	Kategorie · weitere Spezifizierung erforderlich
T85.42	Displacement of breast prosthesis and implant	Kategorie · weitere Spezifizierung erforderlich
T85.43	Leakage of breast prosthesis and implant	Kategorie · weitere Spezifizierung erforderlich
T85.44	Capsular contracture of breast implant	Kategorie · weitere Spezifizierung erforderlich

Code	Beschreibung	Kategorie · weitere Spezifizierung erforderlich
T85.41	Breakdown (mechanical) of breast prosthesis and implant	Kategorie · weitere Spezifizierung erforderlich
T85.42	Displacement of breast prosthesis and implant	Kategorie · weitere Spezifizierung erforderlich
T85.43	Leakage of breast prosthesis and implant	Kategorie · weitere Spezifizierung erforderlich
T85.44	Capsular contracture of breast implant	Kategorie · weitere Spezifizierung erforderlich

Other mechanical complication of breast prosthesis and implant

Kapitel 19 · Hinweise übergeordneter Ebenen

T80-T88 · Hinweise übergeordneter Ebenen

T85 · Hinweise übergeordneter Ebenen

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

T80-T88 · Complications of surgical and medical care, not elsewhere classified (T80-T88)

T85 · Complications of other internal prosthetic devices, implants and grafts

Spezifischere Codes

Abrechnung und Kostenübernahme

Codeverlauf

Alle Ausgaben (19)

Hinweise zum Code

Hinweise übergeordneter Ebenen

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

T80-T88 · Complications of surgical and medical care, not elsewhere classified (T80-T88)

T85 · Complications of other internal prosthetic devices, implants and grafts

Spezifischere Codes

Verweise im offiziellen Index (7)

Verwandte Codes

Other mechanical complication of breast prosthesis and implant

Kapitel 19 · Hinweise übergeordneter Ebenen

T80-T88 · Hinweise übergeordneter Ebenen

T85 · Hinweise übergeordneter Ebenen

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

T80-T88 · Complications of surgical and medical care, not elsewhere classified (T80-T88)

T85 · Complications of other internal prosthetic devices, implants and grafts

Spezifischere Codes

Abrechnung und Kostenübernahme

Codeverlauf

Alle Ausgaben (19)

Hinweise zum Code

Hinweise übergeordneter Ebenen

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

T80-T88 · Complications of surgical and medical care, not elsewhere classified (T80-T88)

T85 · Complications of other internal prosthetic devices, implants and grafts

Spezifischere Codes

Verweise im offiziellen Index (7)

Verwandte Codes