Is ICD-10-CM code T87 billable?

No, T87 (Complications peculiar to reattachment and amputation) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code T87 belong to?

T87 belongs to Chapter 19 of the ICD-10-CM tabular list: S00–T88 (Injury, Poisoning and Certain Other Consequences of External Causes).

T87Not billable, use a more specific code below

Complications peculiar to reattachment and amputation

In Complications of surgical and medical care, not elsewhere classified (T80-T88), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes

25 billable codes under T87: 12 are a CC; 24 map to HCC 409 (Amputation Status, Lower Limb/Amputation Complications), HCC 405 (Traumatic Amputations and Complications).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

Instructional notes

Also applies, from Complications of surgical and medical care, not elsewhere classified (T80-T88)

These notes sit on T80-T88 and apply to every code under it, including T87.

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

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
code to identify devices involved and details of circumstances (Y62-Y82)

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 T87
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.

All codes under T87

T87 can't be used on a claim. Pick a billable code below; grey headings group them.

T87 MS-DRGs

As the principal diagnosis, the billable codes under T87 group to MS-DRG 564, 565, 566, 559, 560, or 561 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 564 Other Musculoskeletal System and Connective Tissue Diagnoses with MCC (18 of 25 codes)
DRG 565 Other Musculoskeletal System and Connective Tissue Diagnoses with CC (18 of 25 codes)
DRG 566 Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC (18 of 25 codes)
DRG 559 Aftercare, Musculoskeletal System and Connective Tissue with MCC (7 of 25 codes)
DRG 560 Aftercare, Musculoskeletal System and Connective Tissue with CC (7 of 25 codes)
DRG 561 Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC (7 of 25 codes)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Limb Loss

People can lose all or part of an arm or leg for many reasons. Common ones include: Some amputees have phantom pain, which is the feeling of pain in the missing limb. Other physical problems include surgical complications and skin problems if you wear an artificial limb. Many amputees use an artificial limb. Learning how to use it takes time. Physical therapy can help you adapt.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.