2026 ICD-10-CM Diagnosis Code T81.534APerforation due to foreign body accidentally left in body following endoscopic examination, initial encounter
T81.534A is a billable ICD-10-CM diagnosis code for perforation due to foreign body accidentally left in body following endoscopic examination, 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 919 through 921. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complication of other surgical or medical care, injury, initial encounter.
Code Identity
Code Classification
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 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Foreign Bodies
If you've ever gotten a splinter or had sand in your eye, you've had experience with a foreign body. A foreign body is something that is stuck inside you but isn't supposed to be there. You may inhale or swallow a foreign body, or you may get one from an injury to almost any part of your body.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert T81.534A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T81.534AOverview
Is T81.534A a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report perforation due to foreign body accidentally left in body following endoscopic examination, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T81.534A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for perforation due to foreign body accidentally left in body following endoscopic examination, such as an emergency visit or first evaluation.
What MS-DRG does T81.534A group to?
When perforation due to foreign body accidentally left in body following endoscopic examination, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 919, 920, 921, with relative weights from 0.6884 to 1.8308 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of T81.534A?
Under the General Equivalence Mappings, perforation due to foreign body accidentally left in body following endoscopic examination, initial encounter converts to ICD-9-CM 998.4 (FB left during procedure). 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.
