T82.590A: Other mechanical complication of surgically created arteriovenous fistula, initial encounter
T82.590A, other mechanical complication of surgically created arteriovenous fistula, initial encounter, is listed as a covered diagnosis in 6 Medicare billing and coding articles that apply to 41 HCPCS Level II codes, including C8925 (Transesophageal echocardiography (tee) with contrast, or…), C8926 (Transesophageal echocardiography (tee) with contrast, or…), C8927 (Transesophageal echocardiography (tee) with contrast, or…). The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with T82.590A as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| C8925 | Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report | Special coverage instructions apply | — | 2 |
| C8926 | Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report | Special coverage instructions apply | — | 2 |
| C8927 | Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis | Special coverage instructions apply | — | 2 |
| J2785 | Injection, regadenoson, 0.1 mg | Carrier judgment | — | 2 |
| J0461 | Injection, atropine sulfate, 0.01 mg | Special coverage instructions apply | — | 2 |
| J0153 | Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) | Special coverage instructions apply | — | 2 |
| Q9957 | Injection, perflutren lipid microspheres, per ml | Carrier judgment | — | 2 |
| J1250 | Injection, dobutamine hydrochloride, per 250 mg | Special coverage instructions apply | — | 2 |
| J0280 | Injection, aminophyllin, up to 250 mg | Special coverage instructions apply | — | 2 |
| J1245 | Injection, dipyridamole, per 10 mg | Special coverage instructions apply | — | 2 |
| Q9956 | Injection, octafluoropropane microspheres, per ml | Carrier judgment | — | 2 |
| A9700 | Supply of injectable contrast material for use in echocardiography, per study | Special coverage instructions apply | — | 2 |
| C8921 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete | Special coverage instructions apply | — | 2 |
| C8922 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study | Special coverage instructions apply | — | 2 |
| C8923 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, without spectral or color doppler echocardiography | Special coverage instructions apply | — | 2 |
| C8924 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited study | Special coverage instructions apply | — | 2 |
| C8928 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report | Special coverage instructions apply | — | 2 |
| C8929 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography | Special coverage instructions apply | — | 2 |
| C8930 | Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision | Special coverage instructions apply | — | 2 |
| Q9955 | Injection, perflexane lipid microspheres, per ml | Carrier judgment | — | 2 |
| J3490 | Unclassified drugs | Special coverage instructions apply | — | 1 |
| C9399 | Unclassified drugs or biologicals | Special coverage instructions apply | — | 1 |
| C8900 | Magnetic resonance angiography with contrast, abdomen | Special coverage instructions apply | — | 1 |
| C8901 | Magnetic resonance angiography without contrast, abdomen | Special coverage instructions apply | — | 1 |
| C8902 | Magnetic resonance angiography without contrast followed by with contrast, abdomen | Special coverage instructions apply | — | 1 |
16 more codes are listed. See every code with payment by region in Caduvo.
Medicare policy articles listing T82.590A
- A56809: Billing and Coding: Transesophageal Echocardiography (TEE) (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 3 Level II codes). LCD with the same title: L33579, L34337, L35016
- A52868: Billing and Coding: Transesophageal Echocardiography (TEE) (Wellpoint Federal (MAC - Part A, MAC - Part B); 3 Level II codes). LCD with the same title: L33579, L34337, L35016
- A57306: Billing and Coding: Transthoracic Echocardiography (TTE) (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 19 Level II codes). LCD with the same title: L33577, L34338
- A56747: Billing and Coding: Magnetic Resonance Angiography (MRA) (Wellpoint Federal (MAC - Part A, MAC - Part B); 18 Level II codes). LCD with the same title: L33633, L34372, L34865
- A57056: Billing and Coding: Aortography and Peripheral Angiography (First Coast Service Options, Inc. (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L36767
- A56781: Billing and Coding: Transthoracic Echocardiography (TTE) (Wellpoint Federal (MAC - Part A, MAC - Part B); 17 Level II codes). LCD with the same title: L33577, L34338
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other T82 diagnoses (Complications of cardiac and vascular prosthetic devices, implants and grafts)
- T82.591A — Other mechanical complication of surgically created arteriovenous…
- T82.592A — Other mechanical complication of artificial heart, initial encounter
- T82.593A — Other mechanical complication of balloon (counterpulsation) device…
- T82.594A — Other mechanical complication of infusion catheter, initial encounter
- T82.595A — Other mechanical complication of umbrella device, initial encounter
- T82.598A — Other mechanical complication of other cardiac and vascular devices…
- T82.599A — Other mechanical complication of unspecified cardiac and vascular…
- T82.510A — Breakdown (mechanical) of surgically created arteriovenous fistula…
- T82.511A — Breakdown (mechanical) of surgically created arteriovenous shunt…
- T82.512A — Breakdown (mechanical) of artificial heart, initial encounter
- T82.513A — Breakdown (mechanical) of balloon (counterpulsation) device, initial…
- T82.514A — Breakdown (mechanical) of infusion catheter, initial encounter
- T82.515A — Breakdown (mechanical) of umbrella device, initial encounter
- T82.518A — Breakdown (mechanical) of other cardiac and vascular devices and…
- T82.519A — Breakdown (mechanical) of unspecified cardiac and vascular devices…
- T82.520A — Displacement of surgically created arteriovenous fistula, initial…
- T82.521A — Displacement of surgically created arteriovenous shunt, initial…
- T82.522A — Displacement of artificial heart, initial encounter
- T82.523A — Displacement of balloon (counterpulsation) device, initial encounter
- T82.524A — Displacement of infusion catheter, initial encounter
- T82.525A — Displacement of umbrella device, initial encounter
- T82.528A — Displacement of other cardiac and vascular devices and implants…
- T82.529A — Displacement of unspecified cardiac and vascular devices and…
- T82.530A — Leakage of surgically created arteriovenous fistula, initial encounter
- T82.531A — Leakage of surgically created arteriovenous shunt, initial encounter
- T82.532A — Leakage of artificial heart, initial encounter
- T82.533A — Leakage of balloon (counterpulsation) device, initial encounter
- T82.534A — Leakage of infusion catheter, initial encounter
- T82.535A — Leakage of umbrella device, initial encounter
- T82.538A — Leakage of other cardiac and vascular devices and implants, initial…
Frequently asked questions
Does Medicare cover T82.590A (Other mechanical complication of surgically created…)?
Medicare covers items and services, not diagnoses. 6 Medicare billing and coding articles list T82.590A as a covered diagnosis for 41 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 T82.590A?
The Level II codes from the policies most specific to this diagnosis are C8925 (Transesophageal echocardiography (tee) with contrast, or…, 2 articles); C8926 (Transesophageal echocardiography (tee) with contrast, or…, 2 articles); C8927 (Transesophageal echocardiography (tee) with contrast, or…, 2 articles); J2785 (Injection, regadenoson, 0.1 mg, 2 articles); J0461 (Injection, atropine sulfate, 0.01 mg, 2 articles). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list T82.590A?
A56809 (Billing and Coding: Transesophageal Echocardiography (TEE)); A52868 (Billing and Coding: Transesophageal Echocardiography (TEE)); A57306 (Billing and Coding: Transthoracic Echocardiography (TTE)), and 3 more articles.
What is ICD-10-CM code T82.590A?
T82.590A is the ICD-10-CM code for other mechanical complication of surgically created arteriovenous fistula, initial encounter, in category T82 (Complications of cardiac and vascular prosthetic devices, implants and grafts), chapter 19: Injury, poisoning and other consequences of external causes.
Next steps
- Run a reimbursement report for a device billed under C8925
- Watch C8925 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C8925
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 19: Injury, poisoning and other consequences of external causes · All diagnoses · HCPCS lookup