2026 ICD-10-CM Diagnosis Code T80.92XAUnspecified transfusion reaction, initial encounter

ICD-10-CM Codes›S00–T88›T80-T88›T80

ICD-10-CM T80.92XA
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

T80.92XA is a billable ICD-10-CM diagnosis code for unspecified transfusion reaction, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 811 through 812. Coders also document this condition as blood transfusion reaction. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complication of other surgical or medical care, injury, initial encounter.

Code Identity

ICD-10-CM Code
T80.92XA
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified transfusion reaction, initial encounter
Short Description
Unspecified transfusion reaction, initial encounter
Same as the full description in the CMS dataset.
Parent Code
T80.92
Unspecified transfusion reaction

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionT80-T88Complications of surgical and medical care, not elsewhere classified
CategoryT80Complications following infusion, transfusion and therapeutic injection
This CodeT80.92XAUnspecified transfusion reaction, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Blood transfusion reaction
  • Delayed transfusion reaction
  • Immediate transfusion reaction
  • Transfusion reaction due to clerical error
  • Transfusion reaction due to faulty storage of blood

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Complications following infusion, transfusion and therapeutic injection (T80). Use the following options for the applicable episode of care:

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

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ037
Complication of other surgical or medical care, injury, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Transfusion Reaction

    complications of blood transfusion. included adverse reactions are common allergic and febrile reactions; hemolytic (delayed and acute) reactions; and other non-hemolytic adverse reactions such as infections and adverse immune reactions related to immunocompatibility.

  • Blood Transfusion

    the introduction of whole blood or blood component directly into the blood stream. (dorland, 27th ed)

  • Transfusion Reaction

    adverse events associated with the transfusion of whole blood or one of its components, most commonly a hemolytic reaction to cross-typed blood.

Patient EducationClinical

Blood Transfusion and Donation

Every year, millions of people in the United States receive life-saving blood transfusions. During a transfusion, you receive whole blood or parts of blood such as:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert T80.92XA to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
999.80 Transfusion reaction NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About T80.92XAOverview

Is T80.92XA (Unspecified transfusion reaction) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified transfusion reaction, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character A in T80.92XA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for unspecified transfusion reaction, such as an emergency visit or first evaluation.

What MS-DRG does T80.92XA group to?

When unspecified transfusion reaction, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 811, 812, with relative weights from 0.9182 to 1.4043 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of T80.92XA?

Under the General Equivalence Mappings, unspecified transfusion reaction, initial encounter converts to ICD-9-CM 999.80 (transfusion reaction NOS). The mapping is approximate, so confirm the match fits the documentation.

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.