T84.020A: Dislocation of internal right hip prosthesis, initial encounter
T84.020A, dislocation of internal right hip prosthesis, initial encounter, is listed as a covered diagnosis in 3 Medicare billing and coding articles that apply to 10 HCPCS Level II codes, including A9585 (Injection, gadobutrol, 0.1 ml), Q9953 (Injection, iron-based magnetic resonance contrast agent…), G0283 (Electrical stimulation (unattended), to one or more areas…). The articles come from 2 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 T84.020A as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | Carrier judgment | — | 1 |
| Q9953 | Injection, iron-based magnetic resonance contrast agent, per ml | Special coverage instructions apply | — | 1 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | Carrier judgment | — | 1 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | Carrier judgment | — | 1 |
| G2250 | Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment | Carrier judgment | — | 1 |
| G0281 | Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care | Carrier judgment | — | 1 |
| G2251 | Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion | Carrier judgment | — | 1 |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0329 | Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care | Carrier judgment | — | 1 |
| S2900 | Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) | Not payable by Medicare | Not covered | 1 |
Medicare policy articles listing T84.020A
- A60250: Billing and Coding: Total Joint Arthroplasty (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33456, L36039, L39911, L40232
- A57206: Billing and Coding: Lumbar MRI (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B); 2 Level II codes). LCD with the same title: L34220
- A57311: Billing and Coding: Physical Therapy - Home Health (CGS Administrators, LLC (HHH MAC); 7 Level II codes). LCD with the same title: L33942
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 T84 diagnoses (Complications of internal orthopedic prosthetic devices, implants and grafts)
- T84.021A — Dislocation of internal left hip prosthesis, initial encounter
- T84.022A — Instability of internal right knee prosthesis, initial encounter
- T84.023A — Instability of internal left knee prosthesis, initial encounter
- T84.010A — Broken internal right hip prosthesis, initial encounter
- T84.011A — Broken internal left hip prosthesis, initial encounter
- T84.012A — Broken internal right knee prosthesis, initial encounter
- T84.013A — Broken internal left knee prosthesis, initial encounter
- T84.030A — Mechanical loosening of internal right hip prosthetic joint, initial…
- T84.031A — Mechanical loosening of internal left hip prosthetic joint, initial…
- T84.032A — Mechanical loosening of internal right knee prosthetic joint…
- T84.033A — Mechanical loosening of internal left knee prosthetic joint, initial…
- T84.052A — Periprosthetic osteolysis of internal prosthetic right knee joint…
- T84.053A — Periprosthetic osteolysis of internal prosthetic left knee joint…
- T84.062A — Wear of articular bearing surface of internal prosthetic right knee…
- T84.063A — Wear of articular bearing surface of internal prosthetic left knee…
- T84.092A — Other mechanical complication of internal right knee prosthesis…
- T84.093A — Other mechanical complication of internal left knee prosthesis…
- T84.114A — Breakdown (mechanical) of internal fixation device of right femur…
- T84.115A — Breakdown (mechanical) of internal fixation device of left femur…
- T84.116A — Breakdown (mechanical) of internal fixation device of bone of right…
- T84.117A — Breakdown (mechanical) of internal fixation device of bone of left…
- T84.124A — Displacement of internal fixation device of right femur, initial…
- T84.125A — Displacement of internal fixation device of left femur, initial…
- T84.126A — Displacement of internal fixation device of bone of right lower leg…
- T84.127A — Displacement of internal fixation device of bone of left lower leg…
- T84.194A — Other mechanical complication of internal fixation device of right…
- T84.195A — Other mechanical complication of internal fixation device of left…
- T84.196A — Other mechanical complication of internal fixation device of bone of…
- T84.197A — Other mechanical complication of internal fixation device of bone of…
- T84.498A — Other mechanical complication of other internal orthopedic devices…
Frequently asked questions
Does Medicare cover T84.020A (Dislocation of internal right hip prosthesis, initial…)?
Medicare covers items and services, not diagnoses. 3 Medicare billing and coding articles list T84.020A as a covered diagnosis for 10 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 T84.020A?
The Level II codes from the policies most specific to this diagnosis are A9585 (Injection, gadobutrol, 0.1 ml, 1 article); Q9953 (Injection, iron-based magnetic resonance contrast agent…, 1 article); G0283 (Electrical stimulation (unattended), to one or more areas…, 1 article); G2010 (Remote evaluation of recorded video and/or images…, 1 article); G2250 (Remote assessment of recorded video and/or images…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list T84.020A?
A60250 (Billing and Coding: Total Joint Arthroplasty); A57206 (Billing and Coding: Lumbar MRI); A57311 (Billing and Coding: Physical Therapy - Home Health).
What is ICD-10-CM code T84.020A?
T84.020A is the ICD-10-CM code for dislocation of internal right hip prosthesis, initial encounter, in category T84 (Complications of internal orthopedic 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 A9585
- Watch A9585 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9585
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