2024 ICD-10-CM Diagnosis Code T81.89XD

Other complications of procedures, not elsewhere classified, subsequent encounter

ICD-10-CM Code:
T81.89XD
ICD-10 Code for:
Oth complications of procedures, NEC, subs
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)

T81.89XD is a billable diagnosis code used to specify a medical diagnosis of other complications of procedures, not elsewhere classified, subsequent encounter. 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.

T81.89XD is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like other complications of procedures not elsewhere classified. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.

Approximate Synonyms

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

  • Accidental laceration during a procedure
  • Accidental laceration during a procedure on an organ
  • Accidental puncture during a procedure
  • Accidental puncture of organ during a procedure
  • Accidental wound during procedure
  • Acquired meningocele
  • Acute myeloid leukemia and myelodysplastic syndrome related to radiation
  • Adverse cutaneous reaction to acupuncture
  • Adverse cutaneous reaction to diagnostic procedure
  • Adverse effect of radiation therapy
  • Adverse effect of radiation therapy
  • Application site atrophy
  • Application site necrosis
  • Aseptic meningitis
  • Auditory system complication of procedure
  • Axillary web syndrome
  • Bilateral neuroma of upper limbs following surgery
  • Biopsy specimen not retrieved
  • Bleeding from breast
  • Breast hematoma
  • Breast seroma
  • Cardiovascular system complication of procedure
  • Complication due to and following cosmetic surgery
  • Complication of diagnostic procedure
  • Complication of laser surgery
  • Complication of laser surgery
  • Complication of respiratory therapy procedure
  • Cranial cerebrospinal fluid leak
  • Cytokine release syndrome
  • Delayed healing of surgical wound
  • Delayed healing of wound
  • Detachment of stoma
  • Device removal failed
  • Discharge from suture line
  • Dissection of aorta at coarctation site following procedure
  • Dissection of iliofemoral vein as complication of femoral vein catheterization
  • Ecchymosis following surgical procedure
  • Endobronchial tube incorrectly positioned
  • Extraperitoneal hemorrhage postprocedure
  • Failed attempted procedure
  • Failed external cephalic version
  • Failed insertion
  • Failed laryngeal mask airway insertion
  • Failed portoenterostomy
  • Failed procedure using minimal access approach
  • Failed procedure using minimal access approach converted to open procedure
  • Fecal incontinence following creation of ileo-anal pouch
  • Gingival recession
  • Granuloma of surgical wound
  • Hematologic complication of procedure
  • Hematoma of vascular access site
  • High output stoma
  • Hyperactive behavior
  • Hyperactive behavior
  • Hyperactive postoperative delirium
  • Hypervolemia
  • Hypoactive postoperative delirium
  • Hypothermia
  • Hypothermia - accidental
  • Hypoxemia during surgery
  • Immune system complication of procedure
  • Immunodeficiency secondary to radiation therapy
  • Impaired wound healing
  • Inadvertent tracheal extubation
  • Injury due to procedure
  • Injury of femoral vein
  • Injury of iliac vein
  • Injury to esophagus during surgery
  • Injury to liver during surgery
  • Injury to nerve during surgery
  • Injury to viscus during surgery
  • Injury to viscus during surgery
  • Intra-abdominal hemorrhage postprocedure
  • Intra-abdominal hemorrhage postprocedure
  • Intraoperative fluid overload
  • Laser-induced burn
  • Leak of cranial cerebrospinal fluid due to and following procedure on central nervous system
  • Leakage from duodenostomy
  • Leakage of radio-opaque material
  • Leakage of wound after surgical procedure
  • Meningitis following procedure
  • Mixed hyperactive hypoactive postoperative delirium
  • Necrosis of stoma
  • Neoplastic complication of procedure
  • Neurological complication of procedure
  • Neuroma of left upper limb following surgery
  • Neuroma of lower limb
  • Neuroma of right upper limb following surgery
  • Neuroma of upper limb
  • Neuroma of upper limb
  • Non-healing surgical wound
  • Non-healing surgical wound
  • Nonunion of spinal fusion
  • Obstruction of surgically constructed pulmonary venous pathway as complication of procedure
  • Obturator nerve injury
  • Obturator nerve injury during surgery
  • Obturator neuropathy
  • Over-granulating secondary intention surgical wound
  • Painful operation scar
  • Painful scar
  • Perioperative hematoma
  • Peripheral vascular complication of procedure
  • Poor siting of stoma
  • Post surgical neuroma of lower limb
  • Postoperative air embolism
  • Postoperative aseptic meningitis
  • Postoperative atelectasis
  • Postoperative cognitive dysfunction
  • Postoperative communicating hydrocephalus
  • Postoperative confusion
  • Postoperative confusion
  • Postoperative confusion
  • Postoperative confusion
  • Postoperative confusion
  • Postoperative delirium
  • Postoperative dental wound hemorrhage
  • Postoperative depression
  • Postoperative gingival recession
  • Postoperative hematoma formation
  • Postoperative hematoma of breast
  • Postoperative hemorrhage
  • Postoperative meningitis
  • Postoperative meningocele
  • Postoperative nausea
  • Postoperative neuroma of upper limb
  • Postoperative neuroma of upper limb
  • Postoperative pulmonary embolus
  • Postoperative seroma
  • Postoperative status epilepticus
  • Postoperative sterility
  • Postoperative stricture
  • Postoperative vomiting
  • Postoperative wound hemorrhage
  • Postoperative wound hemorrhage
  • Postoperative wound sinus
  • Postprocedural pulmonary valve regurgitation
  • Postprocedural regurgitation of tricuspid valve
  • Primary malignant neoplasm of skin due to and following radiotherapy caused by ionizing radiation
  • Problem with surgical scar
  • Radiation-induced plexopathy
  • Radiation-induced skin malignancy
  • Reactionary hemorrhage postprocedure
  • Renal complication of procedure
  • Reproductive system complication of procedure
  • Rupture of vein
  • Secondary hemorrhage
  • Secondary hemorrhage postprocedure
  • Seroma
  • Seroma
  • Seroma
  • Seroma following procedure
  • Seroma following procedure
  • Seroma of breast as complication of procedure
  • Short stature due to radiation therapy
  • Skin reaction to suture material
  • Special ENT procedure abnormal
  • Stenosis of stoma
  • Sterility
  • Stoma malfunction
  • Stomal bleeding
  • Stomal varices
  • Stone formation in stoma
  • Subaortic stenosis as complication of procedure
  • Subpulmonary stenosis
  • Subpulmonary stenosis as complication of procedure
  • Surgical scar
  • Surgical scar finding
  • Surgical scar finding
  • Surgical wound necrosis
  • Suture line inflamed
  • Therapy-related myelodysplastic syndrome
  • Toxicity due to radiotherapy
  • Traumatic complication of procedure
  • Unplanned perioperative hypothermia
  • Unsatisfactory outcome of cosmetic surgery
  • Unsatisfactory outcome of laser surgery
  • Valve problem of stoma
  • Visual system complication of procedure
  • Widening of scar of skin following surgical procedure
  • Wound granuloma
  • Wound granuloma
  • Wound hemorrhage
  • Wound hemorrhage
  • Wound inflammation
  • Wound inflammation
  • Wound inflammation

Clinical Classification

Clinical Information

  • Postoperative Hemorrhage

    hemorrhage following any surgical procedure. it may be immediate or delayed and is not restricted to the surgical wound.
  • Gingival Recession

    exposure of the root surface when the edge of the gum (gingiva) moves apically away from the crown of the tooth. this is common with advancing age, vigorous tooth brushing, diseases, or tissue loss of the gingiva, the periodontal ligament and the supporting bone (alveolar process).
  • Cytokine Release Syndrome

    a severe immune reaction characterized by excessive release of cytokines. symptoms include dyspnea; fever; headache; hypotension; nausea; rash; tachycardia; hypoxia; hyperferritinemia, and multiple organ failure. it is associated with viral infections, sepsis; autoimmune diseases and a variety of factors used in immunotherapy.
  • Seroma

    tumor-like sterile accumulation of serum in a tissue, organ, or cavity. it results from a tissue insult and is the product of tissue inflammation. it most commonly occurs following mastectomy.
  • Mastectomy

    surgical procedure to remove one or both breasts.
  • Aseptic Meningitis

    inflammation of the membranes surrounding the brain and spinal cord without a bacterial pathogen.
  • Grade 1 Seroma, CTCAE|Grade 1 Seroma|Grade 1 Seroma

    asymptomatic; clinical or diagnostic observations only; intervention not indicated
  • Grade 2 Seroma, CTCAE|Grade 2 Seroma|Grade 2 Seroma

    symptomatic; simple aspiration indicated
  • Grade 3 Seroma, CTCAE|Grade 3 Seroma|Grade 3 Seroma

    symptomatic, elective invasive intervention indicated
  • Seroma

    a collection of serum in the body.
  • Seroma, CTCAE|Seroma|Seroma|Seroma

    a finding of tumor-like collection of serum in the tissues.

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)

T81.89XD 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 T81.89XD to ICD-9-CM

  • ICD-9-CM Code: V58.89 - Other specfied aftercare
    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.