T85.4 Mechanical complication of breast prosthesis and implant

Non-billable header with 5 child codes.

Applies from T85 Complications of other internal 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 T85

7th character required

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

Codes under T85.4

• T85.41 Breakdown (mechanical) of breast prosthesis and implant
• T85.42 Displacement of breast prosthesis and implant
• T85.43 Leakage of breast prosthesis and implant
• T85.44 Capsular contracture of breast implant
• T85.49 Other mechanical complication of breast prosthesis and implant

Code annotations containing back-references to T85.4

Back-references to T85.4

• Type 2 Excludes: N64 Other disorders of breast ("mechanical complication of breast prosthesis and implant (T85.4-)")
• 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)")
• Type 1 Excludes: Z44.3 Encounter for fitting and adjustment of external breast prosthesis ("complications of breast implant (T85.4-)")
• Type 1 Excludes: Z45.81 Encounter for adjustment or removal of breast implant ("complications of breast implant (T85.4-)")

Back-references to T85

• 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)")

Nearby codes

• T85.391S Other mechanical complication of prosthetic orbit of left eye, sequela
• T85.398 Other mechanical complication of other ocular prosthetic devices, implants and grafts
• T85.398A Other mechanical complication of other ocular prosthetic devices, implants and grafts, initial encounter
• T85.398D Other mechanical complication of other ocular prosthetic devices, implants and grafts, subsequent encounter
• T85.398S Other mechanical complication of other ocular prosthetic devices, implants and grafts, sequela
• T85.4 Mechanical complication of breast prosthesis and implant (this code)
• T85.41 Breakdown (mechanical) of breast prosthesis and implant
• T85.41XA Breakdown (mechanical) of breast prosthesis and implant, initial encounter
• T85.41XD Breakdown (mechanical) of breast prosthesis and implant, subsequent encounter
• T85.41XS Breakdown (mechanical) of breast prosthesis and implant, sequela
• T85.42 Displacement of breast prosthesis and implant