2025 ICD-10-CM code T83
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Complications of genitourinary prosthetic devices, implants and grafts Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Complications of genitourinary prosthetic devices, implants and grafts.
Modifiers may be applicable depending on the circumstances of the service provided. Consult the official guidelines for modifier use.
Medical necessity will be determined by the specific circumstances and will require documentation supporting the need for the implantation of the device and the treatment of any resulting complications.This typically includes a thorough history and physical examination, diagnostic testing (if applicable), and evidence that less invasive treatment options have been considered or have failed.Documentation must support the clinical severity and necessity of the intervention.
The clinical responsibility will depend on the specific complication and the healthcare setting.This may involve urologists, surgeons, or other specialists, depending on the nature of the complication.
- Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T88)
- T80-T88: Complications of surgical and medical care, not elsewhere classified
In simple words: This code covers problems that can happen after surgery to put in artificial parts in the urinary or genital system.These problems can include things like the device breaking, getting infected, causing bleeding, blocking the flow of urine or semen, moving out of place, or the body rejecting the implant.
This ICD-10-CM code encompasses a range of adverse events following the implantation of prosthetic devices, implants, or grafts within the genitourinary system.These complications can include, but are not limited to, mechanical issues, infections, bleeding, obstruction, migration, or rejection of the implanted materials.Specific complications should be further specified with additional codes as needed.
Example 1: A patient presents with pain and bleeding following the implantation of a urethral bulking agent.The physician diagnoses T83.723A (Exposure of implanted urethral bulking agent into urethra, initial encounter) and K65.9 (Other specified disorders of the male urethra) and may also use an additional code to specify the cause of bleeding if determined (e.g., from Chapter 20)., A patient experiences recurrent urinary tract infections after a bladder augmentation procedure with a mesh implant.T83.728A (Exposure of other implanted mesh into organ or tissue, initial encounter) is used in conjunction with a code specifying the infection (e.g., N30.0 for urinary tract infection)., Following the placement of a ureteral stent, a patient develops ureteral obstruction.T83.85XA (Stenosis due to genitourinary prosthetic devices, implants and grafts, initial encounter) and N13.2 (Ureteral obstruction) would be coded along with appropriate codes describing the cause and potentially other complications.
Detailed operative notes, imaging reports (e.g., CT scan, ultrasound), laboratory results (e.g., urinalysis, culture), and any other relevant clinical information are necessary to support the diagnosis and appropriate coding.The type of prosthetic device used, date of implantation, and a clear description of the complication are crucial.Preoperative and postoperative conditions should also be documented.
** This code is used to capture complications arising from genitourinary prosthetic devices, implants, and grafts.The complexity of this code necessitates thorough documentation and potentially multiple codes to accurately reflect the patient's condition.Always verify with the most up-to-date coding guidelines.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.
- RVU: RVUs will depend on the specific complication and services rendered. Consult the relevant fee schedule for details.
- Global Days: The global surgical period will vary depending on the specific procedure and payer.
- Payment Status: Active
- Modifier TC rule: The applicability of the TC modifier depends on the specific service and payer rules.Refer to local coding and payment guidelines.
- Fee Schedule: Historical fee schedules are not provided. Check payer specific fee schedules for historical data.
- Specialties:Urology, Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Office