ICD-10 T82.223
Non-Billable HeaderLeakage of biological heart valve graft
About ICD-10-CM T82.223
ICD-10-CM code T82.223 represents Leakage of biological heart valve graft. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block T82). The 2026 edition of ICD-10-CM T82.223 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Coding Tips for T82.223
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.
Medicare LCD Coverage for T82.223
Local Coverage Determinations (LCDs) from CMS MACs that list T82.223 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing T82.223.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but T82.223 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with T82.223
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To T82.223
Other codes in section T80-T88 (Complications of surgical and medical care, not elsewhere classified).
ICD-10 T82.223, Billing FAQ
Is ICD-10 code T82.223 billable? +
No, T82.223 is a non-billable header code. Use a more specific child code from block T82 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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