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T83.091 ICD-10-CM Code: Other mechanical complication of indwelling urethral catheter

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Complications of surgical and medical care, not elsewhere classified (T80-T88)

T83.091

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other mechanical complication of indwelling urethral catheter

Other mechanical complication of indwelling urethral catheter

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
T83.0Mechanical complication of urinary catheter
T83.09Other mechanical complication of urinary catheter
T83.091Other mechanical complication of indwelling urethral catheter

Inclusion Terms

Official
  • Obstruction (mechanical) of urinary catheter
  • Perforation of urinary catheter
  • Protrusion of urinary catheter

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for T83.091 in this effective period.

Related Child Codes

Official
T83.091AOther mechanical complication of indwelling urethral catheter, initial encounter
T83.091DOther mechanical complication of indwelling urethral catheter, subsequent encounter
T83.091SOther mechanical complication of indwelling urethral catheter, sequela

Includes

Official

ICD-10-CM does not list Includes notes for T83.091 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for T83.091 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for T83.091 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for T83.091 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for T83.091 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

T83.091 is the ICD-10-CM diagnosis code for other mechanical complication of indwelling urethral catheter. T83.091 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering complications of surgical and medical care, not elsewhere classified (t80-t88).

Header codes like T83.091 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at T83.091's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for T83.091 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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