T83.012A Breakdown (mechanical) of nephrostomy catheter, initial encounter

Billable ICD-10-CM code, FY2026.

Built from T83.012 with 7th character A (initial encounter).

Applies from T83 Complications of genitourinary prosthetic devices, implants and grafts

Excludes2 (not included here)

• failure and rejection of transplanted organs and tissue (T86.-)

7th character note

• The appropriate 7th character is to be added to each code from category T83

7th character required

• A — initial encounter
• D — subsequent encounter
• S — sequela

Applies from T83.0 Mechanical complication of urinary catheter

Excludes2 (not included here)

• complications of stoma of urinary tract (N99.5-)

Risk adjustment (HCC)

• CMS-HCC V22: HCC 176 — Complications of Specified Implanted Device or Graft
• ESRD V24: HCC 176

Code annotations containing back-references to T83.012A

Back-references to T83.0

• Type 2 Excludes: N99.5 Complications of stoma of urinary tract ("mechanical complication of urinary catheter (T83.0-)")
• Type 2 Excludes: T81.59 Other complications of foreign body accidentally left in body following procedure ("obstruction or perforation due to prosthetic devices and implants intentionally left in body (T82.0-T82.5, T83.0-T83.4, T83.7, T84.0-T84.4, T85.0-T85.6)")

Back-references to T83

• Type 2 Excludes: T78 Adverse effects, not elsewhere classified ("complications of surgical and medical care NEC (T80-T88)")
• Type 2 Excludes: T79 Certain early complications of trauma, not elsewhere classified ("complications occurring during or following medical procedures (T80-T88)")
• Type 2 Excludes: T79 Certain early complications of trauma, not elsewhere classified ("complications of surgical and medical care NEC (T80-T88)")
• Type 2 Excludes: T81 Complications of procedures, not elsewhere classified ("complication of prosthetic devices, implants and grafts (T82-T85)")
• Type 2 Excludes: T88 Other complications of surgical and medical care, not elsewhere classified ("complications of devices, implants and grafts (T82-T85)")
• Type 2 Excludes: Z96 Presence of other functional implants ("complications of internal prosthetic devices, implants and grafts (T82-T85)")
• Type 1 Excludes: Z97 Presence of other devices ("complications of internal prosthetic devices, implants and grafts (T82-T85)")

Diagnosis Index entries for T83.012A

• Breakdown › device, graft or implant › catheter NEC › nephrostomy

Nearby codes

• T83.011 Breakdown (mechanical) of indwelling urethral catheter
• T83.011A Breakdown (mechanical) of indwelling urethral catheter, initial encounter
• T83.011D Breakdown (mechanical) of indwelling urethral catheter, subsequent encounter
• T83.011S Breakdown (mechanical) of indwelling urethral catheter, sequela
• T83.012 Breakdown (mechanical) of nephrostomy catheter
• T83.012A Breakdown (mechanical) of nephrostomy catheter, initial encounter (this code)
• T83.012D Breakdown (mechanical) of nephrostomy catheter, subsequent encounter
• T83.012S Breakdown (mechanical) of nephrostomy catheter, sequela
• T83.018 Breakdown (mechanical) of other urinary catheter
• T83.018A Breakdown (mechanical) of other urinary catheter, initial encounter
• T83.018D Breakdown (mechanical) of other urinary catheter, subsequent encounter