T85.4

Non-billable

Mechanical complication of breast prosthesis and implant

T85.4 is the ICD-10-CM code for Mechanical complication of breast prosthesis and implant. It is a non-billable category code — use a more specific child code such as T85.41 for billing.

Status
Header (non-billable)
Chapter
S00-T88
Parent
T85
Subcodes
5
Edition
FY2026

S00-T88 Injury, poisoning and certain other consequences of external causes

What this means — in plain language

MedlinePlus · NIH

If you need a mastectomy , you have a choice about whether or not to have surgery to rebuild the shape of the breast. Instead of breast reconstruction, you could choose to wear a breast form that replaces the breast, wear padding inside your bra, or do nothing. All of these options have pros and cons. What is right for one woman may not be right for another. Breast reconstruction may be done at the same time as the…

Read more about Breast Reconstruction at MedlinePlus ↗

Source: U.S. National Library of Medicine (MedlinePlus). Informational only — not medical advice.

No additional coding notes for this code.

Frequently asked questions

What is ICD-10 code T85.4?
T85.4 is the ICD-10-CM code for "Mechanical complication of breast prosthesis and implant". It falls under S00-T88 Injury, poisoning and certain other consequences of external causes.
Is T85.4 a billable code?
No — T85.4 is a non-billable header code. Use a more specific child code (such as T85.41) for billing.
What are the subcodes of T85.4?
T85.4 has 5 more specific child codes, including T85.41, T85.42, T85.43.

Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.

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