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ICD-10-CM T85.44XS: Capsular contracture of breast implant, sequela
ICD-10-CM code T85.44XS identifies a sequela of capsular contracture of a breast implant. The active terminology record classifies this concept under the parent code T85.44 and assigns it the semantic type of Injury or Poisoning. A related clinical reference notes that capsular contracture may occur among patients living with a ruptured breast implant. 1 2
Plain-language overview
The official preferred name for T85.44XS is capsular contracture of breast implant, sequela, and the concept is currently designated as an active terminology record. 1
What this code represents
T85.44XS represents a sequela of capsular contracture of a breast implant and is hierarchically positioned as a narrower concept beneath the parent code T85.44. 1
The terminology record assigns T85.44XS the semantic type of Injury or Poisoning, and the published abbreviation matches the full preferred name for this diagnosis. 1
Coding details
A Medicare billing and coding article lists T85.44XS as an ICD-10-CM diagnosis code within a range that begins with T85.44XA for the initial encounter. 3
The Medicare article explicitly pairs the T85.44XA and T85.44XS diagnosis codes with their respective labels for the initial encounter and the sequela of capsular contracture of a breast implant. 3
Clinical context
A clinical reference states that patients living with a ruptured breast implant may experience capsular contracture, along with silicone migration beyond the surrounding capsule and systemic illness. 2
Documentation considerations
The official terminology record establishes T85.44XS as a sequela of capsular contracture of a breast implant, and the Medicare billing article includes it within a range of specific encounter diagnosis codes. 1 3
Coverage and utilization context
The code T85.44XS appears in a Medicare article concerning cosmetic and reconstructive surgery billing, which lists the diagnosis code alongside its official descriptive label. 3
What the sources add
The terminology record supplies the official code hierarchy and semantic type, whereas the clinical reference adds that capsular contracture may occur as a consequence of living with a ruptured implant. 1 2
Sources
- ICD-10-CM T85.44XS terminology record — National Cancer Institute Enterprise Vocabulary Services; accessed 2026-07-27.
- Bookshelf — ncbi.nlm.nih.gov; accessed 2026-07-27.
- Article - Billing and Coding: Cosmetic and Reconstructive Surgery (A59299) — cms.gov; accessed 2026-07-27.
Medical Policies and Guidelines
Related policies from health plans
T85.44XS policy automation walkthrough
Walk through the policies, prior authorization requirements, and workflow automation opportunities connected to this code.