Category · FY2027
T88 Other complications of surgical and medical care, not elsewhere classified
- Header · not billable
- Codes take a 7th character
T88 is not billable. The category heads 39 billable codes in FY2027, grouped under 10 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.
Index → code
Where it sits
- Chapter 19 Injury, poisoning and certain other consequences of external causes (S00-T88)
- T80-T88 Complications of surgical and medical care, not elsewhere classified (T80-T88)
- T88 Other complications of surgical and medical care, not elsewhere classified
- Billable codes
- 39
- Subdivisions
- 10
- CC / MCC codes
- 5 / 0
- HCC V28 codes
- 0
- New FY2027
- 0
- Index entries
- 72
Codes in T88
- T88.0Infection following immunization +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
Inclusion terms 1
Inclusion terms
- Sepsis following immunization
- T88.1Other complications following immunization, not elsewhere classified +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
Inclusion terms 2, Excludes1 1, Excludes2 5
Inclusion terms
- Generalized vaccinia
- Rash following immunization
Excludes1
- vaccinia not from vaccine (B08.011) B08.011
- T88.2Shock due to anesthesia +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
Excludes1 5, Use additional code 1
- T88.3Malignant hyperthermia due to anesthesia +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
Use additional code 1
Use additional code
- code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5) T41
- T88.4Failed or difficult intubation +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- T88.5Other complications of anesthesiaHeader
Use additional code 1
Use additional code
- code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5) T41
- T88.51Hypothermia following anesthesia +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- T88.52Failed moderate sedation during procedure +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
Inclusion terms 1, Excludes2 1
Inclusion terms
- Failed conscious sedation during procedure
Excludes2
- personal history of failed moderate sedation (Z92.83) Z92.83
- T88.53Unintended awareness under general anesthesia during procedure +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
Excludes2 1
Excludes2
- personal history of unintended awareness under general anesthesia (Z92.84) Z92.84
- T88.59Other complications of anesthesia +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
- T88.6Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered +7th: A D SNeeds 7th characterCC AExempt: 2 of 3 7th characters
Inclusion terms 2, Excludes1 2, Use additional code 1
Inclusion terms
- Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
- Anaphylactoid reaction NOS
Excludes1
- T88.7Unspecified adverse effect of drug or medicament +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
Inclusion terms 2, Excludes1 1, Use additional code 1
- T88.8Other specified complications of surgical and medical care, not elsewhere classified +7th: A D SNeeds 7th characterExempt: 2 of 3 7th characters
Use additional code 1
Use additional code
- code to identify the complication
- T88.9Complication of surgical and medical care, unspecified +7th: A D SNeeds 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
At T88
Excludes2
- complication following infusion, transfusion and therapeutic injection (T80.-) T80
- complication following procedure NEC (T81.-) T81
- complications of anesthesia in labor and delivery (O74.-) O74
- complications of anesthesia in pregnancy (O29.-) O29
- complications of anesthesia in puerperium (O89.-) O89
- complications of devices, implants and grafts (T82-T85) T82 T85
- complications of obstetric surgery and procedure (O75.4) O75.4
- dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1) L23.3 L24.4 L25.1 L27.0 L27.1
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4) T36 T65
- specified complications classified elsewhere
Notes that also apply
Block T80-T88 instructions (Excludes2 21, Use additional code 3): printed on the block page.
Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.
7th characters
7th characters for T88 defined here
The appropriate 7th character is to be added to each code from category T88
| 7th | Meaning (NCHS) |
|---|---|
| A | initial encounter |
| D | subsequent encounter |
| S | sequela |
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
- Vaccinia (generalized) (localized) → T88.1
- Intubation, difficult or failed → T88.4
- Paraffinoma → T88.8
- Misadventure (of) (prophylactic) (therapeutic) → T88.9
- Cellulitis (diffuse) (phlegmonous) (septic) (suppurative)›vaccinal → T88.0
- Infection, infected, infective (opportunistic)›postvaccinal → T88.0
- Infection, infected, infective (opportunistic)›vaccination → T88.0
- Pyemia, pyemic (fever) (infection) (purulent)›postvaccinal → T88.0
- Complication(s) (from) (of)›vaccination → T88.1
- Cowpox›due to vaccination → T88.1
- Eczema (acute) (chronic) (erythematous) (fissum) (rubrum) (squamous)›vaccination, vaccinatum → T88.1
- Rash (toxic)›following immunization → T88.1
- Anesthesia, anesthetic›shock (due to) → T88.2
- Hyperpyrexia›malignant, due to anesthetic → T88.3
- Hyperthermia (of unknown origin)›malignant, due to anesthesia → T88.3
- Difficult, difficulty (in)›intubation, in anesthesia → T88.4
- Failure, failed›intubation during anesthesia → T88.4
- Hypothermia (accidental)›due to anesthesia, anesthetic → T88.51
- Failure, failed›sedation (conscious) (moderate) during procedure → T88.52
- Anesthesia, anesthetic›complication or reaction NEC → T88.59
- Complication(s) (from) (of)›anesthesia, anesthetic → T88.59
- Effect, adverse›anesthesia → T88.59
- Headache›spinal and epidural anesthesia - induced → T88.59
- Reaction›toxic, to local anesthesia → T88.59
- Complication(s) (from) (of)›chemotherapy (antineoplastic) NEC → T88.7
- Complication(s) (from) (of)›drug NEC → T88.7
- Damage›medication → T88.7
- Effect, adverse›drugs and medicaments → T88.7
- Hypersensitive, hypersensitiveness, hypersensitivity›drug → T88.7
- Reaction›drug NEC → T88.7
- Misadventure (of) (prophylactic) (therapeutic)›specified NEC → T88.8
- Complication(s) (from) (of)›electroshock therapy → T88.9
- Complication(s) (from) (of)›medical procedures → T88.9
- Complication(s) (from) (of)›phototherapy → T88.9
- Complication(s) (from) (of)›ultrasound therapy NEC → T88.9
- Effect, adverse›medical care → T88.9
- Misadventure (of) (prophylactic) (therapeutic)›local applications (of fomentations, plasters, etc.) → T88.9
- Misadventure (of) (prophylactic) (therapeutic)›medical care (early) (late) → T88.9
- Complication(s) (from) (of)›vaccination›cellulitis → T88.0
- Complication(s) (from) (of)›vaccination›infection (general) (local) NEC → T88.0
32 more, longer entries are not listed; the search box finds them by word.
NCHS Alphabetic Index. Index first, then the Tabular List.