Breakdown (mechanical) of urinary devices and implants, subs

This diagnosis code indicates a mechanical failure or malfunction of a urinary device or implant, other than those specifically classified elsewhere (e.g., indwelling catheter, stoma device). This breakdown could involve issues such as fracture, displacement, or obstruction of the device itself, leading to impaired function or patient symptoms. The "subsequent encounter" designation signifies that the patient is receiving routine care during the healing or recovery phase of the initial injury or condition for which the device was implanted.

This code is appropriate when a patient presents for follow-up care related to a previously implanted urinary device (excluding those with more specific codes) that is now experiencing a mechanical breakdown. Examples include a fractured ureteral stent, a dislodged bladder neck suspension device, or a malfunctioning artificial urinary sphincter. It should be used when the focus of the encounter is on managing the consequences of this device failure during the recovery period.

• Ensure the documentation clearly specifies a mechanical breakdown of the device, not an infection or other complication.
• Verify that the device in question is not covered by a more specific T83.1x subcategory (e.g., indwelling catheter, stoma).
• The "D" seventh character indicates a subsequent encounter, meaning the patient is in the healing or recovery phase. Do not use for initial treatment of the breakdown.