2024 ICD-10-CM Diagnosis Code T81.72XS

Complication of vein following a procedure, not elsewhere classified, sequela

ICD-10-CM Code:
T81.72XS
ICD-10 Code for:
Complication of vein following a procedure, NEC, sequela
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Complications of surgical and medical care, not elsewhere classified
      (T80-T88)
      • Complications of procedures, not elsewhere classified
        (T81)

T81.72XS is a billable diagnosis code used to specify a medical diagnosis of complication of vein following a procedure, not elsewhere classified, sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

T81.72XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like complication of vein following a procedure not elsewhere classified. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acquired abnormality of pulmonary venous structure
  • Acquired stenosis of pulmonary venous structure
  • Acute deep vein thrombosis of left lower limb following procedure
  • Acute deep vein thrombosis of left upper limb following procedure
  • Acute deep vein thrombosis of right lower limb following procedure
  • Acute deep vein thrombosis of right upper limb following procedure
  • Acute deep venous thrombosis of left upper extremity
  • Acute deep venous thrombosis of lower extremity as complication of procedure
  • Acute deep venous thrombosis of right upper extremity
  • Acute deep venous thrombosis of upper extremity as complication of procedure
  • Chronic deep vein thrombosis of left upper limb following procedure
  • Chronic deep vein thrombosis of right upper extremity
  • Chronic deep vein thrombosis of right upper limb following procedure
  • Chronic deep venous thrombosis of left upper extremity
  • Chronic deep venous thrombosis of upper extremity
  • Chronic deep venous thrombosis of upper extremity
  • Chronic deep venous thrombosis of upper extremity
  • Chronic deep venous thrombosis of upper extremity as complication of procedure
  • Peripheral vascular complication of procedure
  • Peripheral vascular complication of procedure
  • Peripheral vascular complication of procedure
  • Phlebitis as a complication of care
  • Phlebitis due to procedure
  • Phlebitis during procedure
  • Postoperative stenosis of pulmonary vein
  • Postprocedural obstructed systemic venous pathway
  • Pulmonary vein stenosis
  • Thromboembolism of vein
  • Thromboembolus of vein following surgical procedure
  • Thrombophlebitis due to procedure
  • Thrombophlebitis during procedure
  • Thrombosis of cerebral venous sinus due to and following surgical procedure

Clinical Classification

Clinical Information

  • Pulmonary Vein Stenosis

    obstruction of the pulmonary vein in one or multiple sites. the obstruction is the result of wall thickening and narrowing of the lumen of the vein.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Complications of procedures, not elsewhere classified (T81). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Present on Admission (POA)

T81.72XS is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T81.72XS to ICD-9-CM

  • ICD-9-CM Code: 909.3 - Late eff surg/med compl
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.