T88

Non-Billable
ChapterS00–T88
Rankcategory
Official Description

Other complications of surgical and medical care, not elsewhere classified

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88).

CH19 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
Use Additional Code
  • code to identify any retained foreign body, if applicable (Z18.-)

T80-T88 Parent Instructions

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
  • 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)

Instructional Notes

Excludes2(Not included here. Code separately if applicable.)
  • complication following infusion, transfusion and therapeutic injection (T80.-)
  • complication following procedure NEC (T81.-)
  • complications of anesthesia in labor and delivery (O74.-)
  • complications of anesthesia in pregnancy (O29.-)
  • complications of anesthesia in puerperium (O89.-)
  • complications of devices, implants and grafts (T82-T85)
  • complications of obstetric surgery and procedure (O75.4)
  • dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
  • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)
  • specified complications classified elsewhere

Clinical Hierarchy

BillableHas subcodes
CH19Injury, poisoning and certain other consequences of external causes (S00-T88)
T80-T88Complications of surgical and medical care, not elsewhere classified (T80-T88)
T88Other complications of surgical and medical care, not elsewhere classifiedNot billable
T88.0Infection following immunizationBillable
T88.1Other complications following immunization, not elsewhere classifiedBillable
T88.2Shock due to anesthesiaBillable
T88.3Malignant hyperthermia due to anesthesiaBillable
T88.4Failed or difficult intubationBillable
T88.5Other complications of anesthesiaSubcodes
T88.6Anaphylactic reaction due to adverse effect of correct drug or medicament properly administeredBillable
T88.7Unspecified adverse effect of drug or medicamentBillable
T88.8Other specified complications of surgical and medical care, not elsewhere classifiedBillable
T88.9Complication of surgical and medical care, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to T88:

blockT80-T88
Complications of surgical and medical care, not elsewhere classified (T80-T88)
View context instructions
chapterCH19
Injury, poisoning and certain other consequences of external causes (S00-T88)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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