2024 ICD-10-CM Diagnosis Code T81.9XXA
Unspecified complication of procedure, initial encounter
- ICD-10-CM Code:
- T81.9XXA
- ICD-10 Code for:
- Unspecified complication of procedure, initial encounter
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
T81.9XXA is a billable diagnosis code used to specify a medical diagnosis of unspecified complication of procedure, initial 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.
T81.9XXA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like unspecified complication of procedure. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Unspecified diagnosis codes like T81.9XXA are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Airway morbidity
- Anesthesia morbidity
- Application site disorder
- Cancer treatment related morbidity
- Cardiovascular morbidity
- Complication after wiring of sternum
- Complication due to and following cosmetic surgery
- Complication of administrative procedure
- Complication of cryotherapy procedure
- Complication of cutaneous surgery
- Complication of diagnostic procedure
- Complication of diathermy procedure
- Complication of electroshock therapy
- Complication of health care
- Complication of hydrotherapy procedure
- Complication of introduction procedure
- Complication of laser surgery
- Complication of manipulation procedure
- Complication of neonatal circumcision
- Complication of observation procedure
- Complication of patch testing
- Complication of physical rehabilitation therapy procedure
- Complication of previous biliary non-surgical procedure
- Complication of procedure
- Complication of puncture procedure
- Complication of reduction procedure
- Complication of respiratory therapy procedure
- Complication of retained tympanic ventilation tube
- Complication of surgical procedure
- Complication of traction procedure
- Complication of ultrasound therapy
- Complication of ventilation therapy
- Disorder due to and following breast reduction
- Disorder following clinical procedure
- Disorder of dental prosthesis
- Endocrine system complication of procedure
- Iatrogenic complication of vascular surgery
- Intraoperative complication
- Metabolic complication of procedures
- Perioperative complication
- Phototherapy complication
- Post gastrointestinal tract surgery hypoglycemia
- Post-splenectomy disorder
- Radiation therapy complication
- Regional anesthesia morbidity
- Respiratory morbidity
- Surgical site reaction
Clinical Classification
Clinical Category is Complication of other surgical or medical care, injury, initial encounter
- CCSR Category Code: INJ037
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Intraoperative Complication
a disease or disorder that occurs during the course of a surgical procedure.Intraoperative Complication Management and Prevention|Intraoperative Complication Management/Prevention
any action taken during surgery whose purpose is to mitigate and/or prevent the occurrence of an undesirable outcome.
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
Convert T81.9XXA to ICD-9-CM
- ICD-9-CM Code: 998.9 - Surgical complicat NOS
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.