T85.6 Mechanical complication of other specified internal and external prosthetic devices, implants and grafts

⚠ Non-Billable ICD-10-CM 2026
Create your free account → Open T85.6 in the app →

Get what a quick lookup can't: the AI assistant for official-guideline questions, HCC risk-adjustment mappings (CMS-HCC V24/V28, RxHCC), FDA drug indications, and AHA Coding Clinic references for T85.6.

The ICD-10-CM code for Mechanical complication of other specified internal and external prosthetic devices, implants and grafts is T85.6 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
T80-T88: Complications of surgical and medical care, not elsewhere classified (T80-T88)
Category T85
127 codes (96 billable)
FY2026 Status
Stable since FY2024

Official Coding Guidelines

Underdose due to insulin pump failure: code from T85.6

5) Complications due to insulin pump malfunction (a) Underdose of insulin due to insulin pump failure An underdose of insulin due to an insulin pump failure should be assigned to a code from subcategory T85.6, Mechanical

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.4.a.5.a
Insulin pump failure—overdose sequencing

(b) Overdose of insulin due to insulin pump failure The principal or first-listed code for an encounter due to an insulin pump malfunction resulting in an overdose of insulin, should also be T85.6-, Mechanical complication of other specified internal and external prosthetic devices, implants and grafts, followed by code T38.3X1-, Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, accidental (unintentional).

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.4.a.5.b

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Cite This Page

Reference T85.6 with the canonical source and edition:

T85.6 — Mechanical complication of other specified internal and external prosthetic devices, implants and grafts. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/T85.6

Canonical URL: https://icd10codingpro.com/codes/T85.6

Related Codes

Search all 70,000+ ICD-10-CM codes →
Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

Get HCC Mappings, Clinical Summaries, and More

Access premium features including HCC risk adjustment, FDA drug indications, AI coding assistant, and comprehensive clinical context.

Start Free Trial