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T85.199 ICD-10-CM Code: Other mechanical complication of other implanted electronic stimulator of nervous system

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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)

T85.199

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

Other mechanical complication of other implanted electronic stimulator of nervous system

Other mechanical complication of other implanted electronic stimulator of nervous system

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
T85.1Mechanical complication of implanted electronic stimulator of nervous system
T85.19Other mechanical complication of implanted electronic stimulator of nervous system
T85.199Other mechanical complication of other implanted electronic stimulator of nervous system

Inclusion Terms

Official
  • Leakage of implanted electronic stimulator of nervous system
  • Obstruction (mechanical) of implanted electronic stimulator of nervous system
  • Perforation of implanted electronic stimulator of nervous system
  • Protrusion of implanted electronic stimulator of nervous system

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for T85.199 in this effective period.

Related Child Codes

Official
T85.199AOther mechanical complication of other implanted electronic stimulator of nervous system, initial encounter
T85.199DOther mechanical complication of other implanted electronic stimulator of nervous system, subsequent encounter
T85.199SOther mechanical complication of other implanted electronic stimulator of nervous system, sequela

Includes

Official

ICD-10-CM does not list Includes notes for T85.199 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for T85.199 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for T85.199 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for T85.199 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for T85.199 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

T85.199 is the ICD-10-CM diagnosis code for other mechanical complication of other implanted electronic stimulator of nervous system. T85.199 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 T85.199 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 T85.199'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 T85.199 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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