T84.01
Non-Billable

Broken internal joint prosthesis

Non-Billable / Non-Specific Code

What is Broken internal joint prosthesis?

ICD-10-CM T84.01 is the diagnosis code for Broken internal joint prosthesis. 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.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for T84.01

✅ This Code Includes

  • Breakage (fracture) of prosthetic joint
  • Broken prosthetic joint implant

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as T84.01. They are mutually exclusive:

  • periprosthetic joint implant fracture (M97.-)

ICD-10-CM Code Hierarchy

Understanding where T84.01 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 6 entries
T84.010Broken internal right hip prosthesisBillableT84.011Broken internal left hip prosthesisBillableT84.012Broken internal right knee prosthesisBillableT84.013Broken internal left knee prosthesisBillableT84.018Broken internal joint prosthesis, other siteBillableT84.019Broken internal joint prosthesis, unspecified siteBillable
Related Codes

Frequently Asked Questions

Is T84.01 a billable ICD-10-CM code?

No, T84.01 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does T84.01 mean?

T84.01 is the ICD-10-CM diagnosis code for "Broken internal joint prosthesis". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of T84.01?

The parent code of T84.01 is T84.0 ("Mechanical complication of internal joint prosthesis"). T84.01 provides a more specific classification within this category.

What section is T84.01 in?

T84.01 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.

What are the sub-codes of T84.01?

T84.01 has 6 sub-code(s) that provide more specific detail: T84.010, T84.011, T84.012, T84.013, T84.018 and more.

When should I use T84.01?

Use T84.01 when the patients documented diagnosis matches "Broken internal joint prosthesis" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Broken internal joint prosthesis?

The ICD-10-CM code for Broken internal joint prosthesis is T84.01.

Can T84.01 be used for primary diagnosis?

No, T84.01 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is T84.01 in?

T84.01 is in Chapter 19 of the ICD-10-CM Tabular List.

What conditions are excluded from T84.01?

Type 1 Excludes for T84.01 include: periprosthetic joint implant fracture (M97.-).

Is T84.01 valid for 2026?

Yes, T84.01 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousT84.0Mechanical complication of internal joint prosthesisNext →T84.010Broken internal right hip prosthesis
Code Details
T84.01
Broken internal joint prosthesis
Non-Billable / Non-Specific Code
19 — Injury, poisoning and certain other consequences of external causes (S00-T88)
T80-T88 — Complications of surgical and medical care, not elsewhere classified
2026 ICD-10-CM