Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, initial encounter. T84.7XXA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
When the patient returns to have stiches removed or follow up or rehab due the hardware removal you will use the complication T code for the painful hardware and append the 7th character D. The Z47.2 would be used if the hardware was not indicated as painful and had not been placed due to an injury.
I would use Z47.2- encounter for removal of internal fixation device, as well as the original injury code for sequela. I'm curious why you would use the injury code with the sequel and not subsequent?
complication of internal orthopedic devices, implants or grafts ( T84.-) M96.6) Codes. T84.0- Mechanical complication of internal joint prosthesis. T84.1- Mechanical complication of internal fixation device of bones of limb. T84.2- Mechanical complication of internal fixation device of other bones.
ICD-10-PCS code 0SPF05Z for Removal of External Fixation Device from Right Ankle Joint, Open Approach is a medical classification as listed by CMS under Lower Joints range.
Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter. T84. 84XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM T84.
V54. 01 Encounter for removal of internal fixation device.
Painful hardware is not a complication of the injury that is why it is not coded as sequel.
The claim should be coded as follows: Removal of Hardware: 20680 - Removal of implant; deep (e.g., buried wire, pin, screw, metal band, rod or plate)
"T84. 84XA - Pain Due to Internal Orthopedic Prosthetic Devices, Implants and Grafts [initial Encounter]." ICD-10-CM, 10th ed., Centers for Medicare and Medicaid Services and the National Center for Health Statistics, 2018.
Most (> 90%) of the internal fixations are removed within 24 months after the initial surgery [3]. However, there is no clear timing for removing the osteosynthetic material, the time-point of removal depends mainly on the time-point of bone healing [13].
Encounter for other orthopedic aftercareICD-10 code Z47. 89 for Encounter for other orthopedic aftercare is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
0SHF05ZICD-10-PCS Code 0SHF05Z - Insertion of External Fixation Device into Right Ankle Joint, Open Approach - Codify by AAPC.
698A: Other mechanical complication of other specified internal prosthetic devices, implants and grafts, initial encounter.
ICD-10 Code for Encounter for removal of internal fixation device- Z47.
D (subsequent encounter) describes any encounter after the active phase of treatment, when the patient is receiving routine care for the injury during the period of healing or recovery. S (sequela) indicates a complication or condition that arises as a direct result of an injury.