Non-Billable / Non-Specific Code
ICD-10-CM T85.85 is the diagnosis code for Stenosis due to internal prosthetic devices, implants and grafts, not elsewhere classified. This code falls under the section "Complications of surgical and medical care, not elsewhere classified" within Chapter 19 — Injury, poisoning and certain other consequences of external causes (S00-T88). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where T85.85 sits in the ICD-10-CM classification helps ensure proper coding:
No, T85.85 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
T85.85 is the ICD-10-CM diagnosis code for "Stenosis due to internal prosthetic devices, implants and grafts, not elsewhere classified". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of T85.85 is T85.8 ("Other specified complications of internal prosthetic devices, implants and grafts, not elsewhere classified"). T85.85 provides a more specific classification within this category.
T85.85 is located in Section T80-T88 — "Complications of surgical and medical care, not elsewhere classified" within Chapter 19 of the ICD-10-CM Tabular List.
T85.85 has 2 sub-code(s) that provide more specific detail: T85.850, T85.858.
Use T85.85 when the patients documented diagnosis matches "Stenosis due to internal prosthetic devices, implants and grafts, not elsewhere classified" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Stenosis due to internal prosthetic devices, implants and grafts, not elsewhere classified is T85.85.
No, T85.85 is non-billable. Use a more specific sub-code for primary diagnosis billing.
T85.85 is in Chapter 19 of the ICD-10-CM Tabular List.
Yes, T85.85 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.