T81 Complications of procedures, not elsewhere classified

Codes in T81

1. T81.1
   Postprocedural shock

   Header

   Inclusion terms 1, Excludes1 8

   Inclusion terms

   • Shock during or resulting from a procedure, not elsewhere classified

   Excludes1

   • anaphylactic shock NOS (T78.2) T78.2
   • anaphylactic shock due to correct substance properly administered (T88.6) T88.6
   • anaphylactic shock due to serum (T80.5-) T80.5
   • electric shock (T75.4) T75.4
   • obstetric shock (O75.1) O75.1
   • shock due to anesthesia (T88.2) T88.2
   • shock following abortion or ectopic or molar pregnancy (O00-O07, O08.3) O00 O07 O08.3
   • traumatic shock (T79.4) T79.4
2. T81.10
   Postprocedural shock unspecified +7th: A D S

   Needs 7th characterCC AExempt: 2 of 3 7th characters

   Inclusion terms 3

   Inclusion terms

   • Collapse NOS during or resulting from a procedure, not elsewhere classified
   • Postprocedural failure of peripheral circulation
   • Postprocedural shock NOS
3. T81.11
   Postprocedural cardiogenic shock +7th: A D S

   Needs 7th characterMCC AExempt: 2 of 3 7th characters
4. T81.12
   Postprocedural septic shock +7th: A D S

   Needs 7th characterMCC AExempt: 2 of 3 7th characters

   Inclusion terms 2, Code first 1, Use additional code 1

   Inclusion terms

   • Postprocedural endotoxic shock resulting from a procedure, not elsewhere classified
   • Postprocedural gram-negative shock resulting from a procedure, not elsewhere classified

   Code first

   • underlying infection

   Use additional code

   • code, to identify any associated acute organ dysfunction, if applicable
5. T81.19
   Other postprocedural shock +7th: A D S

   Needs 7th characterMCC AExempt: 2 of 3 7th characters

   Inclusion terms 1

   Inclusion terms

   • Postprocedural hypovolemic shock
6. T81.3
   Disruption of wound, not elsewhere classified

   Header

   Inclusion terms 1, Excludes1 5

   Inclusion terms

   • Disruption of any suture materials or other closure methods

   Excludes1

   • breakdown (mechanical) of permanent sutures (T85.612) T85.612
   • displacement of permanent sutures (T85.622) T85.622
   • disruption of cesarean delivery wound (O90.0) O90.0
   • disruption of perineal obstetric wound (O90.1) O90.1
   • mechanical complication of permanent sutures NEC (T85.692) T85.692
7. T81.30
   Disruption of wound, unspecified +7th: A D S

   Needs 7th characterCC AExempt: 2 of 3 7th characters

   Inclusion terms 1

   Inclusion terms

   • Disruption of wound NOS
8. T81.31
   Disruption of external operation (surgical) wound, not elsewhere classified +7th: A D S

   Needs 7th characterCC AExempt: 2 of 3 7th characters

   Inclusion terms 7, Excludes1 1

   Inclusion terms

   • Dehiscence of operation wound NOS
   • Disruption of operation wound NOS
   • Disruption or dehiscence of closure of cornea
   • Disruption or dehiscence of closure of mucosa
   • Disruption or dehiscence of closure of skin and subcutaneous tissue
   • Full-thickness skin disruption or dehiscence
   • Superficial disruption or dehiscence of operation wound

   Excludes1

   • dehiscence of amputation stump (T87.81) T87.81
9. T81.32
   Disruption of internal operation (surgical) wound, not elsewhere classified

   Header
10. T81.320
    Disruption or dehiscence of gastrointestinal tract anastomosis, repair, or closure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
11. T81.321
    Disruption or dehiscence of closure of internal operation (surgical) wound of abdominal wall muscle or fascia +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
12. T81.328
    Disruption or dehiscence of closure of other specified internal operation (surgical) wound +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters

    Inclusion terms 6

    Inclusion terms

    • Disruption or dehiscence of closure of muscle or muscle flap (other than abdominal wall muscle)
    • Disruption or dehiscence of closure of ribs or rib cage
    • Disruption or dehiscence of closure of skull or craniotomy
    • Disruption or dehiscence of closure of sternum or sternotomy
    • Disruption or dehiscence of closure of tendon or ligament
    • Disruption or dehiscence of closure of superficial or muscular fascia (other than abdominal wall fascia)
13. T81.329
    Deep disruption or dehiscence of operation wound, unspecified +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters

    Inclusion terms 1

    Inclusion terms

    • Deep disruption or dehiscence of operation wound NOS
14. T81.33
    Disruption of traumatic injury wound repair +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters

    Inclusion terms 1

    Inclusion terms

    • Disruption or dehiscence of closure of traumatic laceration (external) (internal)
15. T81.4
    Infection following a procedure

    Header

    Inclusion terms 1, Excludes2 6, Use additional code 2, Code also 1

    Inclusion terms

    • Wound abscess following a procedure

    Excludes2

    • bleb associated endophthalmitis (H59.4-) H59.4
    • infection due to infusion, transfusion and therapeutic injection (T80.2-) T80.2
    • infection due to prosthetic devices, implants and grafts (T82.6-T82.7, T83.5-T83.6, T84.5-T84.7, T85.7) T82.6 T82.7 T83.5 T83.6 T84.5 T84.7 T85.7
    • obstetric surgical wound infection (O86.0-) O86.0
    • postprocedural fever NOS (R50.82) R50.82
    • postprocedural retroperitoneal abscess (K68.11) K68.11

    Use additional code

    • code to identify infection
    • code (R65.2-) to identify severe sepsis, if applicable R65.2

    Code also

    • , if applicable, disruption of internal operation (surgical) wound (T81.32-) T81.32
16. T81.40
    Infection following a procedure, unspecified +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
17. T81.41
    Infection following a procedure, superficial incisional surgical site +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters

    Inclusion terms 2

    Inclusion terms

    • Subcutaneous abscess following a procedure
    • Stitch abscess following a procedure
18. T81.42
    Infection following a procedure, deep incisional surgical site +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters

    Inclusion terms 1

    Inclusion terms

    • Intra-muscular abscess following a procedure
19. T81.43
    Infection following a procedure, organ and space surgical site +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters

    Inclusion terms 2

    Inclusion terms

    • Intra-abdominal abscess following a procedure
    • Subphrenic abscess following a procedure
20. T81.44
    Sepsis following a procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters

    Use additional code 1

    Use additional code

    • code to identify the sepsis
21. T81.49
    Infection following a procedure, other surgical site +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
22. T81.5
    Complications of foreign body accidentally left in body following procedure

    Header
23. T81.50
    Unspecified complication of foreign body accidentally left in body following procedure

    Header
24. T81.500
    Unspecified complication of foreign body accidentally left in body following surgical operation +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
25. T81.501
    Unspecified complication of foreign body accidentally left in body following infusion or transfusion +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
26. T81.502
    Unspecified complication of foreign body accidentally left in body following kidney dialysis +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
27. T81.503
    Unspecified complication of foreign body accidentally left in body following injection or immunization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
28. T81.504
    Unspecified complication of foreign body accidentally left in body following endoscopic examination +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
29. T81.505
    Unspecified complication of foreign body accidentally left in body following heart catheterization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
30. T81.506
    Unspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
31. T81.507
    Unspecified complication of foreign body accidentally left in body following removal of catheter or packing +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
32. T81.508
    Unspecified complication of foreign body accidentally left in body following other procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
33. T81.509
    Unspecified complication of foreign body accidentally left in body following unspecified procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
34. T81.51
    Adhesions due to foreign body accidentally left in body following procedure

    Header
35. T81.510
    Adhesions due to foreign body accidentally left in body following surgical operation +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
36. T81.511
    Adhesions due to foreign body accidentally left in body following infusion or transfusion +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
37. T81.512
    Adhesions due to foreign body accidentally left in body following kidney dialysis +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
38. T81.513
    Adhesions due to foreign body accidentally left in body following injection or immunization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
39. T81.514
    Adhesions due to foreign body accidentally left in body following endoscopic examination +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
40. T81.515
    Adhesions due to foreign body accidentally left in body following heart catheterization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
41. T81.516
    Adhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
42. T81.517
    Adhesions due to foreign body accidentally left in body following removal of catheter or packing +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
43. T81.518
    Adhesions due to foreign body accidentally left in body following other procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
44. T81.519
    Adhesions due to foreign body accidentally left in body following unspecified procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
45. T81.52
    Obstruction due to foreign body accidentally left in body following procedure

    Header
46. T81.520
    Obstruction due to foreign body accidentally left in body following surgical operation +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
47. T81.521
    Obstruction due to foreign body accidentally left in body following infusion or transfusion +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
48. T81.522
    Obstruction due to foreign body accidentally left in body following kidney dialysis +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
49. T81.523
    Obstruction due to foreign body accidentally left in body following injection or immunization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
50. T81.524
    Obstruction due to foreign body accidentally left in body following endoscopic examination +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
51. T81.525
    Obstruction due to foreign body accidentally left in body following heart catheterization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
52. T81.526
    Obstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
53. T81.527
    Obstruction due to foreign body accidentally left in body following removal of catheter or packing +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
54. T81.528
    Obstruction due to foreign body accidentally left in body following other procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
55. T81.529
    Obstruction due to foreign body accidentally left in body following unspecified procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
56. T81.53
    Perforation due to foreign body accidentally left in body following procedure

    Header
57. T81.530
    Perforation due to foreign body accidentally left in body following surgical operation +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
58. T81.531
    Perforation due to foreign body accidentally left in body following infusion or transfusion +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
59. T81.532
    Perforation due to foreign body accidentally left in body following kidney dialysis +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
60. T81.533
    Perforation due to foreign body accidentally left in body following injection or immunization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
61. T81.534
    Perforation due to foreign body accidentally left in body following endoscopic examination +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
62. T81.535
    Perforation due to foreign body accidentally left in body following heart catheterization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
63. T81.536
    Perforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
64. T81.537
    Perforation due to foreign body accidentally left in body following removal of catheter or packing +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
65. T81.538
    Perforation due to foreign body accidentally left in body following other procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
66. T81.539
    Perforation due to foreign body accidentally left in body following unspecified procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
67. T81.59
    Other complications of foreign body accidentally left in body following procedure

    Header

    Excludes2 1

    Excludes2

    • obstruction or perforation due to prosthetic devices and implants intentionally left in body (T82.0-T82.5, T83.0-T83.4, T83.7, T84.0-T84.4, T85.0-T85.6) T82.0 T82.5 T83.0 T83.4 T83.7 T84.0 T84.4 T85.0 T85.6
68. T81.590
    Other complications of foreign body accidentally left in body following surgical operation +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
69. T81.591
    Other complications of foreign body accidentally left in body following infusion or transfusion +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
70. T81.592
    Other complications of foreign body accidentally left in body following kidney dialysis +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
71. T81.593
    Other complications of foreign body accidentally left in body following injection or immunization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
72. T81.594
    Other complications of foreign body accidentally left in body following endoscopic examination +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
73. T81.595
    Other complications of foreign body accidentally left in body following heart catheterization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
74. T81.596
    Other complications of foreign body accidentally left in body following aspiration, puncture or other catheterization +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
75. T81.597
    Other complications of foreign body accidentally left in body following removal of catheter or packing +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
76. T81.598
    Other complications of foreign body accidentally left in body following other procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
77. T81.599
    Other complications of foreign body accidentally left in body following unspecified procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
78. T81.6
    Acute reaction to foreign substance accidentally left during a procedure

    Header

    Excludes2 1

    Excludes2

    • complications of foreign body accidentally left in body cavity or operation wound following procedure (T81.5-) T81.5
79. T81.60
    Unspecified acute reaction to foreign substance accidentally left during a procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
80. T81.61
    Aseptic peritonitis due to foreign substance accidentally left during a procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters

    Inclusion terms 1

    Inclusion terms

    • Chemical peritonitis
81. T81.69
    Other acute reaction to foreign substance accidentally left during a procedure +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
82. T81.7
    Vascular complications following a procedure, not elsewhere classified

    Header

    Inclusion terms 2, Excludes1 3, Excludes2 2

    Inclusion terms

    • Air embolism following procedure NEC
    • Phlebitis or thrombophlebitis resulting from a procedure

    Excludes1

    • embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2) O00 O07 O08.2
    • embolism complicating pregnancy, childbirth and the puerperium (O88.-) O88
    • traumatic embolism (T79.0) T79.0

    Excludes2

    • embolism due to prosthetic devices, implants and grafts (T82.8-, T83.81, T84.8-, T85.81-) T82.8 T83.81 T84.8 T85.81
    • embolism following infusion, transfusion and therapeutic injection (T80.0) T80.0
83. T81.71
    Complication of artery following a procedure, not elsewhere classified

    Header
84. T81.710
    Complication of mesenteric artery following a procedure, not elsewhere classified +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
85. T81.711
    Complication of renal artery following a procedure, not elsewhere classified +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
86. T81.718
    Complication of other artery following a procedure, not elsewhere classified +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
87. T81.719
    Complication of unspecified artery following a procedure, not elsewhere classified +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
88. T81.72
    Complication of vein following a procedure, not elsewhere classified +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters
89. T81.8
    Other complications of procedures, not elsewhere classified

    Header

    Excludes2 2

    Excludes2

    • hypothermia following anesthesia (T88.51) T88.51
    • malignant hyperpyrexia due to anesthesia (T88.3) T88.3
90. T81.81
    Complication of inhalation therapy +7th: A D S

    Needs 7th characterExempt: 2 of 3 7th characters
91. T81.82
    Emphysema (subcutaneous) resulting from a procedure +7th: A D S

    Needs 7th characterExempt: 2 of 3 7th characters
92. T81.83
    Persistent postprocedural fistula +7th: A D S

    Needs 7th characterCC AExempt: 2 of 3 7th characters

    Use additional code 5, Code also 1

    Use additional code

    • code, if known, for site of fistula such as:
    • anal fistula (K60.3-) K60.3
    • anorectal fistula (K60.5-) K60.5
    • bladder fistula (N32.2) N32.2
    • other female intestinal-genital tract fistulae (N82.4) N82.4

    Code also

    • , if applicable, disruption of internal operation (surgical) wound (T81.32-) T81.32
93. T81.89
    Other complications of procedures, not elsewhere classified +7th: A D S

    Needs 7th characterExempt: 2 of 3 7th characters

    Use additional code 2

    Use additional code

    • code to specify complication, such as:
    • postprocedural delirium (F05) F05
94. T81.9
    Unspecified complication of procedure +7th: A D S

    Needs 7th characterExempt: 2 of 3 7th characters

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

7th characters

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy