2025 ICD-10-CM code T85.5
Mechanical complication of gastrointestinal prosthetic devices, implants and grafts.
Medical necessity must be established by documenting the clinical need for the procedure or service provided to address the mechanical complication.The documentation should demonstrate that the intervention is reasonable and necessary for the patient's condition.
The provider is responsible for identifying the specific mechanical complication and documenting the details, including the type of device, implant, or graft involved and the nature of the complication.The provider should also document the clinical findings, diagnostic tests performed, and treatment provided.
In simple words: This code indicates a mechanical problem with a device, implant, or graft in your digestive system.
Mechanical complication of gastrointestinal prosthetic devices, implants and grafts. This code describes a mechanical problem or failure specifically with prosthetic devices, implants, or grafts placed within the gastrointestinal tract.
Example 1: A patient with a gastric band experiences slippage or erosion of the band., A patient with an intestinal stent develops obstruction or migration of the stent., A patient with a prosthetic esophageal valve experiences leakage or malfunction of the valve.
Documentation should clearly specify the type of gastrointestinal prosthetic device, implant, or graft involved, the nature of the mechanical complication, and any associated signs, symptoms, or diagnostic findings.The clinical circumstances leading to the complication should also be documented.
** Excludes1: birth trauma (P10-P15), obstetric trauma (O70-O71). Excludes2: failure and rejection of transplanted organs and tissue (T86.-).
- Specialties:General surgery, gastroenterology, and other specialties involved in the placement and management of gastrointestinal prosthetic devices, implants, and grafts.
- Place of Service:Inpatient Hospital, Outpatient Hospital, and other settings where the management of mechanical complications of gastrointestinal prosthetic devices, implants, and grafts may be performed.