Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance
BETA v.3.0

2025 ICD-10-CM code T83.85XS

Sequela of stenosis due to genitourinary prosthetic devices, implants, or grafts.

Use additional codes to identify any associated conditions or complications (e.g., infection, pain, etc.).Appropriate codes from Chapter 20 (External causes of morbidity) should be added to identify the underlying cause of the initial injury. If a retained foreign body is present, use an additional code from Z18.- to specify the foreign body.If the patient is receiving treatment for the stenosis, use the appropriate codes to reflect the treatment provided.

Modifiers may be applicable depending on the specific circumstances of the encounter. For example, modifiers might be used to clarify the place of service or the type of procedure performed.

Medical necessity is established by the presence of a clinically significant stenosis causing symptoms or functional impairment.The impact on the patient's quality of life, need for interventions such as surgery or medication, and documentation justifying treatment are crucial for demonstrating medical necessity.

The clinical responsibility lies with the physician managing the sequelae of the stenosis. This may involve urologists, gynecologists, or other specialists depending on the location and nature of the stenosis.

IMPORTANT:Consider T83.85XA (initial encounter) or T83.85XD (subsequent encounter) if the stenosis is being addressed during an acute or ongoing treatment phase.If the underlying cause is a different complication, a separate code may be required to capture the underlying condition. Codes from Chapter 20 (External causes of morbidity) may be needed to indicate the cause of the initial injury or complication that led to the stenosis.

In simple words: This code is for a long-term problem (sequela) caused by a narrowing (stenosis) in the urinary or genital system that happened because of an artificial device, implant, or graft used in a prior procedure.

This code signifies the late effects (sequelae) of stenosis resulting from genitourinary prosthetic devices, implants, or grafts.It indicates that the stenosis is a lasting consequence of a previous procedure involving these devices.The condition is not an acute or immediate complication but rather a long-term effect.

Example 1: A patient presents with chronic urinary retention due to a narrowed urethra, a sequela of a previous urethral stricture repair using a urethral stent.The stent is no longer in place. T83.85XS is used to code the long-term complication., A female patient experiences persistent dysmenorrhea due to scarring and stenosis of the fallopian tubes following a prior tubal ligation procedure. T83.85XS is used to document the sequela., A patient with a history of a penile implant develops a stricture at the implantation site years later. The stricture causes erectile dysfunction. T83.85XS is assigned to reflect the sequela of stenosis from the implant.

Detailed medical history including the date and type of prior genitourinary procedure involving prosthetic devices, implants, or grafts.Documentation must include details of the stenosis including location, severity, and impact on the patient's health.Imaging studies demonstrating the stenosis, such as ultrasound or X-ray, are essential.

** This code is used to report the sequelae of stenosis only. It should not be used for the initial diagnosis or treatment of the stenosis.Always ensure accurate documentation supports the assignment of this code.

  • Payment Status: Active
  • Modifier TC rule: Not applicable to this diagnosis code.
  • Specialties:Urology, Gynecology, and potentially other surgical specialties.
  • Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center
** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.