2021 ICD-10-CM Diagnosis Code T84.01

Broken internal joint prosthesis

    2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
  • T84.01 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2021 edition of ICD-10-CM T84.01 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of T84.01 - other international versions of ICD-10 T84.01 may differ.
Applicable To
  • Breakage (fracture) of prosthetic joint
  • Broken prosthetic joint implant
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as T84.01. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • periprosthetic joint implant fracture (
    ICD-10-CM Diagnosis Code M97
    • M97 Periprosthetic fracture around internal prost...
      • M97.0 Periprosthetic fracture around internal prost...
        • M97.01 Periprosthetic fracture around internal prost...
          • M97.01XA Periprosthetic fracture around internal prost...
          • M97.01XD Periprosthetic fracture around internal prost...
          • M97.01XS Periprosthetic fracture around internal prost...
        • M97.02 Periprosthetic fracture around internal prost...
          • M97.02XA Periprosthetic fracture around internal prost...
          • M97.02XD Periprosthetic fracture around internal prost...
          • M97.02XS Periprosthetic fracture around internal prost...
      • M97.1 Periprosthetic fracture around internal prost...
        • M97.11 Periprosthetic fracture around internal prost...
          • M97.11XA Periprosthetic fracture around internal prost...
          • M97.11XD Periprosthetic fracture around internal prost...
          • M97.11XS Periprosthetic fracture around internal prost...
        • M97.12 Periprosthetic fracture around internal prost...
          • M97.12XA Periprosthetic fracture around internal prost...
          • M97.12XD Periprosthetic fracture around internal prost...
          • M97.12XS Periprosthetic fracture around internal prost...
      • M97.2 Periprosthetic fracture around internal prost...
        • M97.21 Periprosthetic fracture around internal prost...
          • M97.21XA Periprosthetic fracture around internal prost...
          • M97.21XD Periprosthetic fracture around internal prost...
          • M97.21XS Periprosthetic fracture around internal prost...
        • M97.22 Periprosthetic fracture around internal prost...
          • M97.22XA Periprosthetic fracture around internal prost...
          • M97.22XD Periprosthetic fracture around internal prost...
          • M97.22XS Periprosthetic fracture around internal prost...
      • M97.3 Periprosthetic fracture around internal prost...
        • M97.31 Periprosthetic fracture around internal prost...
          • M97.31XA Periprosthetic fracture around internal prost...
          • M97.31XD Periprosthetic fracture around internal prost...
          • M97.31XS Periprosthetic fracture around internal prost...
        • M97.32 Periprosthetic fracture around internal prost...
          • M97.32XA Periprosthetic fracture around internal prost...
          • M97.32XD Periprosthetic fracture around internal prost...
          • M97.32XS Periprosthetic fracture around internal prost...
      • M97.4 Periprosthetic fracture around internal prost...
        • M97.41 Periprosthetic fracture around internal prost...
          • M97.41XA Periprosthetic fracture around internal prost...
          • M97.41XD Periprosthetic fracture around internal prost...
          • M97.41XS Periprosthetic fracture around internal prost...
        • M97.42 Periprosthetic fracture around internal prost...
          • M97.42XA Periprosthetic fracture around internal prost...
          • M97.42XD Periprosthetic fracture around internal prost...
          • M97.42XS Periprosthetic fracture around internal prost...
      • M97.8 Periprosthetic fracture around other internal...
        • M97.8XXA Periprosthetic fracture around other internal...
        • M97.8XXD Periprosthetic fracture around other internal...
        • M97.8XXS Periprosthetic fracture around other internal...
      • M97.9 Periprosthetic fracture around unspecified in...
        • M97.9XXA Periprosthetic fracture around unspecified in...
        • M97.9XXD Periprosthetic fracture around unspecified in...
        • M97.9XXS Periprosthetic fracture around unspecified in...
    M97.-
    )
The following code(s) above T84.01 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to T84.01:
  • S00-T88
    2021 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • T80-T88
    2021 ICD-10-CM Range T80-T88

    Complications of surgical and medical care, not elsewhere classified

    Type 2 Excludes
    • any encounters with medical care for postprocedural conditions in which no complications are present, such as:
    • artificial opening status (Z93.-)
    • closure of external stoma (Z43.-)
    • fitting and adjustment of external prosthetic device (Z44.-)
    • burns and corrosions from local applications and irradiation (T20-T32)
    • complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
    • mechanical complication of respirator [ventilator] (J95.850)
    • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
    • postprocedural fever (R50.82)
    • specified complications classified elsewhere, such as:
    • cerebrospinal fluid leak from spinal puncture (G97.0)
    • colostomy malfunction (K94.0-)
    • disorders of fluid and electrolyte imbalance (E86-E87)
    • functional disturbances following cardiac surgery (I97.0-I97.1)
    • intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
    • ostomy complications (J95.0-, K94.-, N99.5-)
    • postgastric surgery syndromes (K91.1)
    • postlaminectomy syndrome NEC (M96.1)
    • postmastectomy lymphedema syndrome (I97.2)
    • postsurgical blind-loop syndrome (K91.2)
    • ventilator associated pneumonia (J95.851)
    Use Additional
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    Complications of surgical and medical care, not elsewhere classified
  • T84
    ICD-10-CM Diagnosis Code T84

    Complications of internal orthopedic prosthetic devices, implants and grafts

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • failure and rejection of transplanted organs and tissues (T86.-)
    • fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6)
    Complications of internal orthopedic prosthetic devices, implants and grafts
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to T84.01:
  • Type 2 Excludes: M97
    ICD-10-CM Diagnosis Code M97

    Periprosthetic fracture around internal prosthetic joint

      2017 - New Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-)
    • breakage (fracture) of prosthetic joint (T84.01-)

Diagnosis Index entries containing back-references to T84.01:
  • Complication(s) (from) (of)
    • joint prosthesis, internal T84.9
      ICD-10-CM Diagnosis Code T84.9

      Unspecified complication of internal orthopedic prosthetic device, implant and graft

        2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
      • mechanical
        • breakage, broken T84.01-
        • fracture T84.01-
      • breakage T84.01- (fracture)
      • fracture T84.01-

ICD-10-CM Codes Adjacent To T84.01
T83.89 Other specified complication of genitourinary prosthetic devices, implants and grafts
T83.89XA …… initial encounter
T83.89XD …… subsequent encounter
T83.89XS …… sequela
T83.9 Unspecified complication of genitourinary prosthetic device, implant and graft
T83.9XXA …… initial encounter
T83.9XXD …… subsequent encounter
T83.9XXS …… sequela
T84 Complications of internal orthopedic prosthetic devices, implants and grafts
T84.0 Mechanical complication of internal joint prosthesis
T84.01 Broken internal joint prosthesis
T84.010 Broken internal right hip prosthesis
T84.010A …… initial encounter
T84.010D …… subsequent encounter
T84.010S …… sequela
T84.011 Broken internal left hip prosthesis
T84.011A …… initial encounter
T84.011D …… subsequent encounter
T84.011S …… sequela
T84.012 Broken internal right knee prosthesis
T84.012A …… initial encounter

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.