T82.512A — Breakdown (mechanical) of artificial heart, initial encounter
T82.512A is a billable, specific ICD-10-CM code for breakdown (mechanical) of artificial heart, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category T82
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T82.512A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 223 Heart Assist Device/Artificial Heart2.505 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
T82.512A is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56602Billing and Coding: Cardiac Rhythm Device Evaluation
- A56625Billing and Coding: Echocardiography
- A56625Billing and Coding: Echocardiography
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
Code history
T82.512A has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share T82.512. If T82.512A is not quite right, the correct code is usually one of these.
Questions about T82.512A
- Is T82.512A a billable ICD-10-CM code?
- Yes. T82.512A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T82.512A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Complications of surgical and medical care, not elsewhere classified (T80-T88).