T82.897A: Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter
T82.897A, other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter, is listed as a covered diagnosis in 10 Medicare billing and coding articles that apply to 40 HCPCS Level II codes, including C9600 (Percutaneous transcatheter placement of drug eluting…), C9601 (Percutaneous transcatheter placement of drug-eluting…), C9602 (Percutaneous transluminal coronary atherectomy, with drug…). The articles come from 6 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 T82.897A as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | Special coverage instructions apply | — | 2 |
| C9601 | Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure) | Special coverage instructions apply | — | 2 |
| C9602 | Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch | Special coverage instructions apply | — | 2 |
| C9603 | Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure) | Special coverage instructions apply | — | 2 |
| C9604 | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel | Special coverage instructions apply | — | 2 |
| C9605 | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure) | Special coverage instructions apply | — | 2 |
| C9606 | Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel | Special coverage instructions apply | — | 2 |
| C9607 | Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel | Special coverage instructions apply | — | 2 |
| C9608 | Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure) | Special coverage instructions apply | — | 2 |
| 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 | — | 4 |
| 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 | — | 4 |
| 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 | — | 4 |
| Q9957 | Injection, perflutren lipid microspheres, per ml | Carrier judgment | — | 3 |
| Q9956 | Injection, octafluoropropane microspheres, per ml | Carrier judgment | — | 3 |
| Q9955 | Injection, perflexane lipid microspheres, per ml | Carrier judgment | — | 3 |
| J0461 | Injection, atropine sulfate, 0.01 mg | Special coverage instructions apply | — | 3 |
| J0153 | Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) | Special coverage instructions apply | — | 3 |
| J1250 | Injection, dobutamine hydrochloride, per 250 mg | Special coverage instructions apply | — | 3 |
| J0280 | Injection, aminophyllin, up to 250 mg | Special coverage instructions apply | — | 3 |
| J1245 | Injection, dipyridamole, per 10 mg | Special coverage instructions apply | — | 3 |
| A9700 | Supply of injectable contrast material for use in echocardiography, per study | Special coverage instructions apply | — | 3 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | Carrier judgment | — | 1 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | Carrier judgment | — | 1 |
| A9505 | Thallium tl-201 thallous chloride, diagnostic, per millicurie | Carrier judgment | — | 1 |
| A9512 | Technetium tc-99m pertechnetate, diagnostic, per millicurie | Carrier judgment | — | 1 |
15 more codes are listed. See every code with payment by region in Caduvo.
Medicare policy articles listing T82.897A
- A57479: Billing and Coding: Percutaneous Coronary Interventions (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 9 Level II codes). LCD with the same title: L34761
- A56823: Billing and Coding: Percutaneous Coronary Intervention (Wellpoint Federal (MAC - Part A, MAC - Part B); 9 Level II codes). LCD with the same title: L33623
- A56743: Billing and Coding: Cardiovascular Nuclear Medicine (Wellpoint Federal (MAC - Part A, MAC - Part B); 9 Level II codes). LCD with the same title: L33560, L33960
- A57179: Billing and Coding: Transesophageal Echocardiogram (First Coast Service Options, Inc. (MAC - Part A, MAC - Part B); 3 Level II codes). LCD with the same title: L33756
- 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
- A56505: Billing and Coding: Transesophageal Echocardiography (TEE) (Novitas Solutions, Inc. (MAC - Part A, MAC - Part B); 6 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
- 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
- A56625: Billing and Coding: Echocardiography (Palmetto GBA (MAC - Part A, MAC - Part B); 6 Level II codes). LCD with the same title: L37379
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)
- T82.898A — Other specified complication of vascular prosthetic devices…
- T82.817A — Embolism due to cardiac prosthetic devices, implants and grafts…
- T82.818A — Embolism due to vascular prosthetic devices, implants and grafts…
- T82.827A — Fibrosis due to cardiac prosthetic devices, implants and grafts…
- T82.828A — Fibrosis due to vascular prosthetic devices, implants and grafts…
- T82.837A — Hemorrhage due to cardiac prosthetic devices, implants and grafts…
- T82.838A — Hemorrhage due to vascular prosthetic devices, implants and grafts…
- T82.847A — Pain due to cardiac prosthetic devices, implants and grafts, initial…
- T82.848A — Pain due to vascular prosthetic devices, implants and grafts…
- T82.855A — Stenosis of coronary artery stent, initial encounter
- T82.856A — Stenosis of peripheral vascular stent, initial encounter
- T82.857A — Stenosis of other cardiac prosthetic devices, implants and grafts…
- T82.858A — Stenosis of other vascular prosthetic devices, implants and grafts…
- T82.867A — Thrombosis due to cardiac prosthetic devices, implants and grafts…
- T82.868A — Thrombosis due to vascular prosthetic devices, implants and grafts…
- T82.01XA — Breakdown (mechanical) of heart valve prosthesis, initial encounter
- T82.02XA — Displacement of heart valve prosthesis, initial encounter
- T82.03XA — Leakage of heart valve prosthesis, initial encounter
- T82.09XA — Other mechanical complication of heart valve prosthesis, initial…
- T82.110A — Breakdown (mechanical) of cardiac electrode, initial encounter
- T82.111A — Breakdown (mechanical) of cardiac pulse generator (battery), initial…
- T82.118A — Breakdown (mechanical) of other cardiac electronic device, initial…
- T82.119A — Breakdown (mechanical) of unspecified cardiac electronic device…
- T82.120A — Displacement of cardiac electrode, initial encounter
- T82.121A — Displacement of cardiac pulse generator (battery), initial encounter
- T82.128A — Displacement of other cardiac electronic device, initial encounter
- T82.129A — Displacement of unspecified cardiac electronic device, initial…
- T82.190A — Other mechanical complication of cardiac electrode, initial encounter
- T82.191A — Other mechanical complication of cardiac pulse generator (battery)…
- T82.198A — Other mechanical complication of other cardiac electronic device…
Frequently asked questions
Does Medicare cover T82.897A (Other specified complication of cardiac prosthetic…)?
Medicare covers items and services, not diagnoses. 10 Medicare billing and coding articles list T82.897A as a covered diagnosis for 40 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 T82.897A?
The Level II codes from the policies most specific to this diagnosis are C9600 (Percutaneous transcatheter placement of drug eluting…, 2 articles); C9601 (Percutaneous transcatheter placement of drug-eluting…, 2 articles); C9602 (Percutaneous transluminal coronary atherectomy, with drug…, 2 articles); C9603 (Percutaneous transluminal coronary atherectomy, with…, 2 articles); C9604 (Percutaneous transluminal revascularization of or through…, 2 articles). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list T82.897A?
A57479 (Billing and Coding: Percutaneous Coronary Interventions); A56823 (Billing and Coding: Percutaneous Coronary Intervention); A56743 (Billing and Coding: Cardiovascular Nuclear Medicine), and 7 more articles.
What is ICD-10-CM code T82.897A?
T82.897A is the ICD-10-CM code for other specified complication of cardiac prosthetic devices, implants and grafts, 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 C9600
- Watch C9600 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C9600
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