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T83.098D ICD-10-CM Code: Other mechanical complication of other urinary catheter, subsequent encounter

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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)

T83.098D

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other mechanical complication of other urinary catheter, subsequent encounter

Other mechanical complication of other urinary catheter, subsequent encounter

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
T83.09Other mechanical complication of urinary catheter
T83.098Other mechanical complication of other urinary catheter
T83.098DOther mechanical complication of other urinary catheter, subsequent encounter

Inclusion Terms

Official
  • Other mechanical complication of Hopkins catheter
  • Other mechanical complication of ileostomy catheter
  • Other mechanical complication of urostomy catheter

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for T83.098D in this effective period.

Related Child Codes

Official
T83.098AOther mechanical complication of other urinary catheter, initial encounter
T83.098SOther mechanical complication of other urinary catheter, sequela

Includes

Official

ICD-10-CM does not list Includes notes for T83.098D in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for T83.098D in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for T83.098D in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for T83.098D in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for T83.098D 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.

Is T83.098D an HCC code?

No. T83.098D is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

T83.098D is the ICD-10-CM diagnosis code for other mechanical complication of other urinary catheter, subsequent encounter. T83.098D 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).

T83.098D is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

T83.098D is a billable ICD-10-CM code that can be reported on claims but does not currently contribute to a Medicare Advantage member's RAF score under any CMS risk adjustment model (V28, V24, ESRD, or RxHCC). Coders reviewing T83.098D should check whether additional documentation would support a more specific child code in the same hierarchy that does map to a payment HCC, capturing the correct specificity is the highest-impact RAF improvement available within accurate coding.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for T83.098D 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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