T82.01XD

Breakdown (mechanical) of heart valve prosthesis, subsequent encounter

Billable / specificPOA exempt

T82.01XD is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from T82)

  • Note: Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • Note: The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

Excludes1

Not coded here — never report together with this code.

  • mechanical complication of biological heart valve graft (T82.22-) (from T82.0)

Excludes2

Not included here — may be reported together when both conditions exist.

  • birth trauma (P10-P15) (from T82)
  • obstetric trauma (O70-O71) (from T82)
  • any encounters with medical care for postprocedural conditions in which no complications are present, such as: (from T82)
  • artificial opening status (Z93.-) (from T82)
  • closure of external stoma (Z43.-) (from T82)
  • fitting and adjustment of external prosthetic device (Z44.-) (from T82)
  • burns and corrosions from local applications and irradiation (T20-T32) (from T82)
  • complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) (from T82)
  • mechanical complication of respirator [ventilator] (J95.850) (from T82)
  • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6) (from T82)
  • postprocedural fever (R50.82) (from T82)
  • specified complications classified elsewhere, such as: (from T82)
  • cerebrospinal fluid leak from spinal puncture (G97.0) (from T82)
  • colostomy malfunction (K94.0-) (from T82)
  • disorders of fluid and electrolyte imbalance (E86-E87) (from T82)
  • functional disturbances following cardiac surgery (I97.0-I97.1) (from T82)
  • intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-) (from T82)
  • ostomy complications (J95.0-, K94.-, N99.5-) (from T82)
  • postgastric surgery syndromes (K91.1) (from T82)
  • postlaminectomy syndrome NEC (M96.1) (from T82)
  • postmastectomy lymphedema syndrome (I97.2) (from T82)
  • postsurgical blind-loop syndrome (K91.2) (from T82)
  • ventilator associated pneumonia (J95.851) (from T82)
  • failure and rejection of transplanted organs and tissue (T86.-) (from T82)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify any retained foreign body, if applicable (Z18.-) (from T82)
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) (from T82)
  • code(s) to identify the specified condition resulting from the complication (from T82)
  • code to identify devices involved and details of circumstances (Y62-Y82) (from T82)

7th character

The 7th character values that apply to this code (defined at T82). Use the placeholder "X" for missing positions.

CharacterMeaning
Ainitial encounter
Dsubsequent encounter
Ssequela

Parent code

  • T82.01Breakdown (mechanical) of heart valve prosthesisNeeds 7th char

Related codes

  • T82.01XABreakdown (mechanical) of heart valve prosthesis, initial encounterBillable
  • T82.01XSBreakdown (mechanical) of heart valve prosthesis, sequelaBillable

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