Pain due to other internal prosth dev/grft, sequela

This code signifies persistent or late-onset pain directly attributable to the presence of an internal prosthetic device, implant, or graft, other than those specified elsewhere. It describes a long-term consequence or complication of the implanted material, not an acute or immediate post-operative issue.

Apply this code when a patient presents with chronic pain that is definitively linked to an existing internal medical device, implant, or graft, and the pain is considered a sequela (a condition following as a consequence of an earlier disease or injury). This would include situations where the pain develops months or years after implantation and is not due to infection, mechanical complication, or displacement.

• Always sequence this code after the primary diagnosis describing the specific type of pain (e.g., M54.5 for low back pain).
• Ensure documentation clearly links the pain to the internal device and specifies it as a sequela, not an acute complication.
• Do not use this code for pain due to infection, mechanical complications, or displacement of the device, as those have more specific codes.