Is ICD-10-CM code Y81 billable?

No, Y81 (General- and plastic-surgery devices associated with adverse incidents) 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 Y81 belong to?

Y81 belongs to Chapter 20 of the ICD-10-CM tabular list: V00–Y99 (External Causes of Morbidity).

Y81Non-billable

General- and plastic-surgery devices associated with adverse incidents

External Causes of Morbidity·Medical devices associated with adverse incidents in diagnostic and therapeutic use (Y70-Y82)·category·FY 2026

Use a more specific code (5 billable)

Y81.0Diagnostic and monitoring general- and plastic-surgery devices associated with adverse incidents Y81.1Therapeutic (nonsurgical) and rehabilitative general- and plastic-surgery devices associated with adverse incidents Y81.2Prosthetic and other implants, materials and accessory general- and plastic-surgery devices associated with adverse incidents Y81.3Surgical instruments, materials and general- and plastic-surgery devices (including sutures) associated with adverse incidents Y81.8Miscellaneous general- and plastic-surgery devices associated with adverse incidents, not elsewhere classified

Y70-Y82 Parent Instructions

Includes

breakdown or malfunction of medical devices (during use) (after implantation) (ongoing use)

Excludes2(Not included here. Code separately if applicable.)

later complications following use of medical devices without breakdown or malfunctioning of device (Y83-Y84)
misadventure to patients during surgical and medical care, classifiable to (Y62-Y69)
surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure (Y83-Y84)

Clinical Hierarchy

BillableHas subcodes

CH20External causes of morbidity (V00-Y99)

Y70-Y82Medical devices associated with adverse incidents in diagnostic and therapeutic use (Y70-Y82)

Y81General- and plastic-surgery devices associated with adverse incidentsNot billable

Y81.0Diagnostic and monitoring general- and plastic-surgery devices associated with adverse incidentsBillable

Y81.1Therapeutic (nonsurgical) and rehabilitative general- and plastic-surgery devices associated with adverse incidentsBillable

Y81.2Prosthetic and other implants, materials and accessory general- and plastic-surgery devices associated with adverse incidentsBillable

Y81.3Surgical instruments, materials and general- and plastic-surgery devices (including sutures) associated with adverse incidentsBillable

Y81.8Miscellaneous general- and plastic-surgery devices associated with adverse incidents, not elsewhere classifiedBillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.