T85.29XS — Other mechanical complication of intraocular lens, sequela
T85.29XS is a billable, specific ICD-10-CM code for other mechanical complication of intraocular lens, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category T85
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Obstruction (mechanical) of intraocular lens
- Perforation of intraocular lens
- Protrusion of intraocular lens
Risk adjustment
T85.29XS does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
T85.29XS is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56549Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation
Code history
T85.29XS 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 T85.29. If T85.29XS is not quite right, the correct code is usually one of these.
Questions about T85.29XS
- Is T85.29XS a billable ICD-10-CM code?
- Yes. T85.29XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T85.29XS 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).