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2025 ICD-10-CM code T84

Complications of internal orthopedic prosthetic devices, implants and grafts.

Use secondary codes from Chapter 20 (External causes of morbidity) to indicate the cause of injury, if applicable. Also, use additional codes to identify any retained foreign body (Z18.-) or any associated adverse effects to drugs (T36-T50 with fifth/sixth character 5).

Medical necessity is established by documenting the signs, symptoms, and diagnostic findings that support the diagnosis of a complication related to an internal orthopedic prosthetic device, implant, or graft.

The physician is responsible for diagnosing and managing complications related to internal orthopedic prosthetic devices, implants, and grafts. This includes assessing the cause of the complication, providing appropriate treatment, and documenting the findings and treatment plan in the patient's medical record.

In simple words: Problems occurring after surgery with implants like artificial joints or bone grafts.

This code encompasses a range of complications arising from internal orthopedic prosthetic devices, implants, and grafts. These complications can include mechanical failures, infections, inflammation, and other adverse reactions related to the implanted materials.

Example 1: A patient presents with pain and swelling around a knee replacement. After examination and imaging, it's determined they have a periprosthetic joint infection, which is coded as T84.5-. , A patient experiences loosening of their hip implant several months after surgery, leading to instability and pain. This mechanical complication is classified under T84.0-. , A patient develops inflammation and pain around a bone graft site, indicating an inflammatory reaction to the graft material, coded as T84.8-.

Documentation should include details of the specific complication, the affected implant or graft, the clinical findings, diagnostic tests performed (e.g., imaging, laboratory tests), and the treatment plan.

** Excludes1: birth trauma (P10-P15), obstetric trauma (O70-O71). Excludes2: failure and rejection of transplanted organs and tissues (T86.-), fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6)

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