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ICD-10-CM 2027 diagnosis code

T84.019DBroken internal joint prosthesis, unspecified site, subsequent encounter

✓ Billable / specificPOA exemptRequires 7th character

T84.019D is a valid, billable ICD-10-CM code for broken internal joint prosthesis, unspecified site, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Broken internal joint prosthesis, unsp site, subs encntr

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About T84.019D

T84.019D is the ICD-10-CM diagnosis code for broken internal joint prosthesis, unspecified site, subsequent encounter. It belongs to category T84 (complications of internal orthopedic prosthetic devices, implants and grafts), block T80-T88 (complications of surgical and medical care, not elsewhere classified) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 949 (Aftercare with CC/MCC, relative weight 1.123) and DRG 950 (Aftercare without CC/MCC, relative weight 0.7664), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V58.89 (other specified aftercare).

7th character

Dsubsequent encounter

CC/MCC status for this injury by encounter: CC for A; Neither CC nor MCC for D, S.

Other encounter types for T84.019:

Notes that apply from higher levels

Instructions written at a parent level also apply to T84.019D.

› From T84.01 Broken internal joint prosthesis
Excludes1
  • periprosthetic joint implant fracture (M97.-)
› From T84 Complications of internal orthopedic prosthetic devices, implants and grafts
Excludes2
  • failure and rejection of transplanted organs and tissues (T86.-)
  • fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6)

Broader instructions also apply from T80-T88 Complications of surgical and medical care, not elsewhere classified and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

ICD-9-CM equivalent

Converter →
  • V58.89Other specified aftercareapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about T84.019D

Is T84.019D billable?

Yes. T84.019D is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of T84.019D mean?

It is the 7th character for subsequent encounter. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can T84.019D be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict T84.019D as a principal diagnosis.

Is T84.019D a CC or MCC?

No. T84.019D is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does T84.019D group to?

T84.019D is used in the MS-DRG v44.0 logic for MS-DRG 949 (Aftercare with CC/MCC) and MS-DRG 950 (Aftercare without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for T84.019D?

The CMS General Equivalence Mappings map T84.019D to ICD-9-CM V58.89.