Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesComplications of surgical and medical care, not elsewhere classifiedICD-10-CM t84-complications-of-orthopedic-prosthetic-devices
    Ask Trek AI about this page

    ICD-10-CM Code For Complications Of Internal Orthopedic Prosthetic Devices Implants And Grafts: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group T84 includes complications of internal orthopedic prosthetic devices, implants, and grafts such as mechanical loosening, infection, displacement, and periprosthetic fractures. These ICD-10-CM diagnosis codes are used to document postoperative device-related complications, capturing the nature of device failure, infection status, and associated musculoskeletal involvement. Accurate coding within the ICD-10-CM T84 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Complications Of Internal Orthopedic Prosthetic Devices Implants And Grafts: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM T84: Complications Of Internal Orthopedic Prosthetic Devices, Implants And Grafts Overview

    This group represents complications related to internal orthopedic prosthetic devices, implants, and grafts, such as joint prostheses, fixation devices, and bone grafts. It targets musculoskeletal and device-related postoperative conditions that can affect joint function, wound healing, or implant integrity. Accurate coding matters because it documents device-related complications that impact clinical management and supports appropriate reimbursement for surgical and postoperative care.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when a patient presents with a documented complication related to an internal orthopedic prosthetic device, implant, or graft, such as loosening, infection, displacement, or fracture around the device. Select the most specific code that describes the nature of the complication and the anatomical location when documented in the medical record.

    ICD-10-CM Codes

    357 rows

    ICD-10-CM CodeDescription
    T84.010ABroken internal right hip prosthesis, initial encounter
    T84.010DBroken internal right hip prosthesis, subsequent encounter
    T84.010SBroken internal right hip prosthesis, sequela
    T84.011ABroken internal left hip prosthesis, initial encounter
    T84.011DBroken internal left hip prosthesis, subsequent encounter
    T84.011SBroken internal left hip prosthesis, sequela
    T84.012ABroken internal right knee prosthesis, initial encounter
    T84.012DBroken internal right knee prosthesis, subsequent encounter
    T84.012SBroken internal right knee prosthesis, sequela
    T84.013ABroken internal left knee prosthesis, initial encounter
    T84.013DBroken internal left knee prosthesis, subsequent encounter
    T84.013SBroken internal left knee prosthesis, sequela
    T84.018ABroken internal joint prosthesis, other site, initial encounter
    T84.018DBroken internal joint prosthesis, other site, subsequent encounter
    T84.018SBroken internal joint prosthesis, other site, sequela
    T84.019ABroken internal joint prosthesis, unspecified site, initial encounter
    T84.019DBroken internal joint prosthesis, unspecified site, subsequent encounter
    T84.019SBroken internal joint prosthesis, unspecified site, sequela
    T84.020ADislocation of internal right hip prosthesis, initial encounter
    T84.020DDislocation of internal right hip prosthesis, subsequent encounter

    Showing 1–20 of 357

    • More pages

    DRG Codes

    13 rows

    DRG CodeDescription
    456Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with MCC
    457Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC
    458Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC
    485Knee Procedures with Principal Diagnosis of Infection with MCC
    486Knee Procedures with Principal Diagnosis of Infection with CC
    487Knee Procedures with Principal Diagnosis of Infection without CC/MCC
    559Aftercare, Musculoskeletal System and Connective Tissue with MCC
    560Aftercare, Musculoskeletal System and Connective Tissue with CC
    561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC
    922Other Injury, Poisoning and Toxic Effect Diagnoses with MCC
    923Other Injury, Poisoning and Toxic Effect Diagnoses without MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC

    Typical Clinical Scenarios

    • An elderly patient with a long-standing total hip arthroplasty presents to the emergency department with acute onset severe groin pain and inability to bear weight after a low-energy fall. Radiographs show periprosthetic fracture with evidence of loosening around the femoral component; the patient requires admission for surgical fixation or revision. A code from this group is assigned to capture the fracture/loosening complication of the internal prosthetic hip device. Typical codes: T84.020A, T84.021A
    • A middle-aged patient with a history of knee arthroplasty reports gradually worsening knee swelling, erythema, and intermittent drainage over several weeks; aspiration yields purulent fluid and cultures grow Staphylococcus aureus. The patient is evaluated in clinic and started on IV antibiotics with planned debridement and possible prosthesis removal; the encounter is coded to describe infection of the implanted orthopedic device. Typical codes: T84.050A, T84.051A, T84.058A
    • A young adult seen in outpatient pain management for chronic mechanical knee pain and instability two years after anterior cruciate ligament (ACL) reconstruction with a synthetic graft. Imaging demonstrates graft failure and implant wear without acute infection; the visit documents ongoing device-related mechanical complication as a reason for elective revision surgery scheduling. Typical codes: T84.090A, T84.091A

    Related Codes

    T81-COMPLICATIONS-OF-PROCEDURES

    ICD-10-CM Code For Complications Of Procedures Not Elsewhere Classified: Group Overview

    T82-CARDIAC-AND-VASCULAR-PROSTHETIC-COMPLICATIONS

    ICD-10-CM Code For Complications Of Cardiac And Vascular Prosthetic Devices Implants And Grafts: Group Overview

    T83-GENITOURINARY-PROSTHETIC-DEVICE-COMPLICATIONS

    ICD-10-CM Code For Complications Of Genitourinary Prosthetic Devices Implants And Grafts: Group Overview

    T85-COMPLICATIONS-OF-INTERNAL-PROSTHETICS

    ICD-10-CM Code For Complications Of Other Internal Prosthetic Devices Implants And Grafts: Group Overview

    T86-COMPLICATIONS-OF-TRANSPLANTED-ORGANS

    ICD-10-CM Code For Complications Of Transplanted Organs And Tissue: Group Overview

    T87-COMPLICATIONS-PECULIAR-TO-REATTACHMENT-AND-AMPUTATION

    ICD-10-CM Code For Complications Peculiar To Reattachment And Amputation: Group Overview

    T88-OTHER-COMPLICATIONS-OF-SURGICAL-CARE

    ICD-10-CM Code For Other Complications Of Surgical And Medical Care Not Elsewhere Classified: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.