2025 ICD-10-CM code T84.0
(Active) Effective Date: N/A Revision Date: N/A Injury, poisoning and certain other consequences of external causes - Complications of surgical and medical care, not elsewhere classified 19 Feed
Mechanical complication of internal joint prosthesis.
Medical necessity for the treatment of a mechanical complication of an internal joint prosthesis must be supported by documentation of the functional limitations and pain experienced by the patient due to the complication. The medical record should clearly demonstrate the need for intervention to address the mechanical issue and restore function.
The physician managing the complication of the internal joint prosthesis is responsible for documenting the details of the complication, including the specific nature of the mechanical issue, the impacted joint, and any associated symptoms. This may involve various specialists, depending on the location of the prosthesis and the nature of the complication.
In simple words: This code indicates a problem with an artificial joint replacement, like a hip or knee replacement, that is not caused by an infection.
This code describes a mechanical complication related to an internal joint prosthesis.It includes issues such as device loosening, dislocation, wear and tear, or mechanical failure of the prosthesis itself, but excludes fracture of the bone adjacent to the prosthesis or complications due to infection.
Example 1: A patient with a total hip arthroplasty presents with pain and instability. Imaging reveals loosening of the prosthetic components.T84.0 is used to code the mechanical complication of the hip prosthesis., A patient experiences pain and clicking in their knee after a total knee replacement.An examination determines that the prosthesis is dislocating. The diagnosis is coded as T84.0. , A patient who had a previous shoulder replacement experiences limited range of motion and discomfort.Imaging shows wear and tear of the prosthetic components. T84.0 is used to code for the mechanical failure of the shoulder prosthesis.
Documentation for T84.0 should specify the type of internal joint prosthesis, the location of the affected joint, and the specific nature of the mechanical complication. Imaging reports, operative notes, and physician's assessments outlining the details of the complication should be included in the documentation.
** 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).The seventh character should be used to indicate the encounter (initial, subsequent, or sequela). As of 2024-11-30, this code is valid.
- Specialties:Orthopedic Surgery, Physical Medicine and Rehabilitation
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Physician's Office, Outpatient Hospital