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T85.321 ICD-10-CM Code: Displacement of prosthetic orbit of left eye

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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)

T85.321

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

Displacement of prosthetic orbit of left eye

Displacement of prosthetic orbit of left eye

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
T85.3Mechanical complication of other ocular prosthetic devices, implants and grafts
T85.32Displacement of other ocular prosthetic devices, implants and grafts
T85.321Displacement of prosthetic orbit of left eye

Inclusion Terms

Official
  • Malposition of other ocular prosthetic devices, implants and grafts

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for T85.321 in this effective period.

Related Child Codes

Official
T85.321ADisplacement of prosthetic orbit of left eye, initial encounter
T85.321DDisplacement of prosthetic orbit of left eye, subsequent encounter
T85.321SDisplacement of prosthetic orbit of left eye, sequela

Includes

Official

ICD-10-CM does not list Includes notes for T85.321 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for T85.321 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for T85.321 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for T85.321 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for T85.321 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

T85.321 is the ICD-10-CM diagnosis code for displacement of prosthetic orbit of left eye. T85.321 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 T85.321 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 T85.321'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 T85.321 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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