2027 ICD-10-CM Diagnosis Code T81.10XSPostprocedural shock unspecified, sequela
T81.10XS is a billable ICD-10-CM diagnosis code for postprocedural shock unspecified, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 922 through 923. The code is exempt from POA reporting. Coders also document this condition as postoperative shock. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complication, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
T81.10XS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Complications of surgical and medical care, not elsewhere classified (T80-T88).
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Postoperative shock
- Postprocedural septic shock
- Shock due to and following procedure
Coding GuidelinesGuidance
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 applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to T81.10XS: its own notes plus those printed at T81.1, T81, block T80-T88, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- anaphylactic shock NOS (T78.2)
- anaphylactic shock due to correct substance properly administered (T88.6)
- anaphylactic shock due to serum (T80.5-)
- electric shock (T75.4)
- obstetric shock (O75.1)
- shock due to anesthesia (T88.2)
- shock following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
- traumatic shock (T79.4)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- complications following immunization (T88.0-T88.1)
- complications following infusion, transfusion and therapeutic injection (T80.-)
- complications of transplanted organs and tissue (T86.-)
- specified complications classified elsewhere, such as:
- complication of prosthetic devices, implants and grafts (T82-T85)
- dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
- endosseous dental implant failure (M27.6-)
- floppy iris syndrome (IFIS) (intraoperative) H21.81
- intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)
- ostomy complications (J95.0-, K94.-, N99.5-)
- plateau iris syndrome (post-iridectomy) (postprocedural) H21.82
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)
- 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, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to each code from category T81
- Ainitial encounter
- Dsubsequent encounter
- Ssequela this code
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name T81.10XS, its category, or a range that includes it.
Excludes1 4
These codes carry an Excludes1 note naming T81.10XS: they are not reported together with it, unless the two conditions are unrelated.
- R55 Syncope and collapsepostprocedural shock (T81.1-) names T81.1-, which includes this code
- R57 Shock, not elsewhere classifiedpostprocedural shock (T81.1-) names T81.1-, which includes this code
- T79.4 Traumatic shockpostprocedural shock (T81.1-) names T81.1-, which includes this code
- T88.2 Shock due to anesthesiapostprocedural shock NOS (T81.1-) names T81.1-, which includes this code
Excludes2 2
These codes carry an Excludes2 note naming T81.10XS: its condition is not part of those codes, and both may be reported when the patient has both.
- I97 Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classifiedpostprocedural shock (T81.1-) names T81.1-, which includes this code
- T88 Other complications of surgical and medical care, not elsewhere classifiedcomplication following procedure NEC (T81.-) names T81.-, which includes this code
Code First 1
These codes say to code first a condition named in the note, and T81.10XS is one of the conditions named.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert T81.10XS to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T81.10XSOverview
What is the ICD-10 code for postprocedural shock unspecified, sequela?
The ICD-10-CM code for postprocedural shock unspecified, sequela is T81.10XS (sometimes written as T8110XS). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is T81.10XS (Postprocedural shock unspecified) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report postprocedural shock unspecified, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character S in T81.10XS mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the postprocedural shock unspecified itself has resolved, not the original event.
What MS-DRG does T81.10XS group to?
When postprocedural shock unspecified, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 923, 922, with relative weights from 0.9980 to 1.6248 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T81.10XS exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for postprocedural shock unspecified, sequela on inpatient claims. The code appears in the Complications of surgical and medical care, not elsewhere classified (T80-T88) range of the CMS exempt list.