Complications of surgical and medical care, not elsewhere classified (T80-T88)
chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes
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Instructional notes
Excludes2: not included here, code separately if applicable
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-)
- closure of external stoma (Z43.-)
- fitting and adjustment of external prosthetic device (Z44.-)
- burns and corrosions from local applications and irradiation (T20-T32)
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
- mechanical complication of respirator [ventilator] (J95.850)
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
- postprocedural fever (R50.82)
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0)
- colostomy malfunction (K94.0-)
- disorders of fluid and electrolyte imbalance (E86-E87)
- functional disturbances following cardiac surgery (I97.0-I97.1)
- intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
- ostomy complications (J95.0-, K94.-, N99.5-)
- postgastric surgery syndromes (K91.1)
- postlaminectomy syndrome NEC (M96.1)
- postmastectomy lymphedema syndrome (I97.2)
- postsurgical blind-loop syndrome (K91.2)
- ventilator associated pneumonia (J95.851)
Use additional code: add a second code for this, listed after this one
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
- Section I.C.19.g Complications of care (page 85), covers T80-T88
Use T86 plus a code for the complication only when it affects transplanted organ function. Body system complication codes are sequenced first unless indexed to a T code, and device pain also gets G89.18 or G89.28.
Other Chapter 19 topics:
- Application of 7th Characters in Chapter 19 (page 77)
- Coding of Injuries (page 78)
- Coding of Traumatic Fractures (page 79)
- Coding of Burns and Corrosions (page 80)
- Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
- Adult and child abuse, neglect and other maltreatment (page 85)
Codes under T80-T88
T80-T88 can't be used on a claim. Pick a billable code below; grey headings group them.
- T80Complications following infusion, transfusion and therapeutic injection
- T81Complications of procedures, not elsewhere classified
- T82Complications of cardiac and vascular prosthetic devices, implants and grafts
- T83Complications of genitourinary prosthetic devices, implants and grafts
- T84Complications of internal orthopedic prosthetic devices, implants and grafts
- T85Complications of other internal prosthetic devices, implants and grafts
- T86Complications of transplanted organs and tissue
- T87Complications peculiar to reattachment and amputation
- T88Other complications of surgical and medical care, not elsewhere classified
T80-T88 MS-DRGs
This code does not group to an MS-DRG as a principal diagnosis.
Other codes that refer to T80-T88
Notes on these codes point to T80-T88.
- P00.89 Includes: Newborn affected by conditions classifiable to T80-T88
- T78 Excludes2: complications of surgical and medical care NEC (T80-T88)
- T79 Excludes2: complications occurring during or following medical procedures (T80-T88)
- T79 Excludes2: complications of surgical and medical care NEC (T80-T88)