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2025 ICD-10-CM code T83.5

Infection and inflammatory reaction due to a prosthetic device, implant, or graft in the urinary system.

Use additional codes to identify the specific type of infection (e.g., urinary tract infection) and the causative organism if known. Also, use an external cause code (Chapter 20) to indicate the cause of the injury, if applicable.If a retained foreign body is present, use code Z18.-.

Medical necessity for treatment is established by the presence of an active infection or clinically significant inflammation directly related to the urinary system prosthetic device, implant, or graft.

The physician is responsible for diagnosing the infection or inflammation and determining its relation to the prosthetic device, implant, or graft.This may involve physical examination, laboratory tests (such as urine cultures), and imaging studies.Treatment may include antibiotics, anti-inflammatory medications, or in some cases, surgical intervention to remove or revise the device.

In simple words: This code indicates an infection or inflammation in your urinary tract (kidneys, ureters, bladder, and urethra) caused by an implanted device, graft, or artificial body part.

This code signifies an infection or inflammatory reaction in the urinary system resulting from a prosthetic device, implant, or graft. The urinary system includes the kidneys, ureters, bladder, and urethra.

Example 1: A patient with a urinary bladder implant develops a urinary tract infection., A patient experiences inflammation around a ureteral stent., A patient with a kidney transplant develops an infection related to the transplanted organ, though this would typically fall under T86.-

Documentation should clearly link the infection or inflammation to the presence of the prosthetic device, implant, or graft.This should include details of the device, the location of the infection, and the patient's symptoms.Supporting laboratory or imaging findings should also be included.

** For infections related to transplanted organs or tissues, use codes T86.-. This code specifically refers to infections and inflammatory reactions due to prosthetic devices, implants, and grafts in the urinary system and not complications such as rejection of a transplanted organ.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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