2017/18 ICD-10-CM Diagnosis Code T88.7

Unspecified adverse effect of drug or medicament

Applicable To
  • Drug hypersensitivity NOS
  • Drug reaction NOS
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for adverse effect, if applicable, to identify drug (T36-T50
    ICD-10-CM Range T36-T50

    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

    Code First
    • , for adverse effects, the nature of the adverse effect, such as:
    • adverse effect NOS (T88.7 )
    • aspirin gastritis (K29.-)
    • blood disorders (D56-D76 )
    • contact dermatitis (L23-L25 )
    • dermatitis due to substances taken internally (L27.-)
    • nephropathy (N14.0-N14.2)
    Includes
    • adverse effect of correct substance properly administered
    • poisoning by overdose of substance
    • poisoning by wrong substance given or taken in error
    • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
    Note
    • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
    Type 1 Excludes
    • toxic reaction to local anesthesia in pregnancy (O29.3-)
    Type 2 Excludes
    • abuse and dependence of psychoactive substances (F10-F19)
    • abuse of non-dependence-producing substances (F55.-)
    • drug reaction and poisoning affecting newborn (P00-P96)
    • pathological drug intoxication (inebriation) (F10-F19)
    Use Additional
    • code(s) to specify:
    • manifestations of poisoning
    • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
    • underdosing of medication regimen (Z91.12-, Z91.13-)
    • T36 Poisoning by, adverse effect of and unde...
    • T37 Poisoning by, adverse effect of and unde...
    • T38 Poisoning by, adverse effect of and unde...
    • T39 Poisoning by, adverse effect of and unde...
    • T40 Poisoning by, adverse effect of and unde...
    • T41 Poisoning by, adverse effect of and unde...
    • T42 Poisoning by, adverse effect of and unde...
    • T43 Poisoning by, adverse effect of and unde...
    • T44 Poisoning by, adverse effect of and unde...
    • T45 Poisoning by, adverse effect of and unde...
    • T46 Poisoning by, adverse effect of and unde...
    • T47 Poisoning by, adverse effect of and unde...
    • T48 Poisoning by, adverse effect of and unde...
    • T49 Poisoning by, adverse effect of and unde...
    • T50 Poisoning by, adverse effect of and unde...
    with fifth or sixth character 5)
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as T88.7. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • specified adverse effects of drugs and medicaments (
    ICD-10-CM Diagnosis Code A00

    Cholera

      2016 2017 2018 Non-Billable/Non-Specific Code
    A00
    -
    ICD-10-CM Diagnosis Code R94

    Abnormal results of function studies

      2016 2017 2018 Non-Billable/Non-Specific Code
    Includes
    • abnormal results of radionuclide [radioisotope] uptake studies
    • abnormal results of scintigraphy
    R94
    and T80-T88
    ICD-10-CM Range T80-T88

    Complications of surgical and medical care, not elsewhere classified

    Type 2 Excludes
    • any encounters with medical care for postprocedural conditions in which no complications are present, such as:
    • artificial opening status (Z93.-)
    • closure of external stoma (Z43.-)
    • fitting and adjustment of external prosthetic device (Z44.-)
    • burns and corrosions from local applications and irradiation (T20-T32)
    • complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
    • mechanical complication of respirator [ventilator] (J95.850)
    • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
    • postprocedural fever (R50.82)
    • specified complications classified elsewhere, such as:
    • cerebrospinal fluid leak from spinal puncture (G97.0)
    • colostomy malfunction (K94.0-)
    • disorders of fluid and electrolyte imbalance (E86-E87)
    • functional disturbances following cardiac surgery (I97.0-I97.1)
    • intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
    • ostomy complications (J95.0-, K94.-, N99.5-)
    • postgastric surgery syndromes (K91.1)
    • postlaminectomy syndrome NEC (M96.1)
    • postmastectomy lymphedema syndrome (I97.2)
    • postsurgical blind-loop syndrome (K91.2)
    • ventilator associated pneumonia (J95.851)
    Use Additional
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    • T80 Complications following infusion, transf...
    • T81 Complications of procedures, not elsewhe...
    • T82 Complications of cardiac and vascular pr...
    • T83 Complications of genitourinary prostheti...
    • T84 Complications of internal orthopedic pro...
    • T85 Complications of other internal prosthet...
    • T86 Complications of transplanted organs and...
    • T87 Complications peculiar to reattachment a...
    • T88 Other complications of surgical and medi...
    .6,
    ICD-10-CM Diagnosis Code T88.8

    Other specified complications of surgical and medical care, not elsewhere classified

      2016 2017 2018 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify the complication
    T88.8
    )
The following code(s) above T88.7 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to T88.7:
  • S00-T88
    2018 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • T80-T88
    2018 ICD-10-CM Range T80-T88

    Complications of surgical and medical care, not elsewhere classified

    Type 2 Excludes
    • any encounters with medical care for postprocedural conditions in which no complications are present, such as:
    • artificial opening status (Z93.-)
    • closure of external stoma (Z43.-)
    • fitting and adjustment of external prosthetic device (Z44.-)
    • burns and corrosions from local applications and irradiation (T20-T32)
    • complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
    • mechanical complication of respirator [ventilator] (J95.850)
    • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
    • postprocedural fever (R50.82)
    • specified complications classified elsewhere, such as:
    • cerebrospinal fluid leak from spinal puncture (G97.0)
    • colostomy malfunction (K94.0-)
    • disorders of fluid and electrolyte imbalance (E86-E87)
    • functional disturbances following cardiac surgery (I97.0-I97.1)
    • intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
    • ostomy complications (J95.0-, K94.-, N99.5-)
    • postgastric surgery syndromes (K91.1)
    • postlaminectomy syndrome NEC (M96.1)
    • postmastectomy lymphedema syndrome (I97.2)
    • postsurgical blind-loop syndrome (K91.2)
    • ventilator associated pneumonia (J95.851)
    Use Additional
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    Complications of surgical and medical care, not elsewhere classified
  • T88
    ICD-10-CM Diagnosis Code T88

    Other complications of surgical and medical care, not elsewhere classified

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • complication following infusion, transfusion and therapeutic injection (T80.-)
    • complication following procedure NEC (T81.-)
    • complications of anesthesia in labor and delivery (O74.-)
    • complications of anesthesia in pregnancy (O29.-)
    • complications of anesthesia in puerperium (O89.-)
    • complications of devices, implants and grafts (T82-T85)
    • complications of obstetric surgery and procedure (O75.4)
    • dermatitis due to drugs and medicaments (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 or 6)
    • specified complications classified elsewhere
    Other complications of surgical and medical care, not elsewhere classified
Clinical Information Code History

Diagnosis Index entries containing back-references to T88.7:

ICD-10-CM Codes Adjacent To T88.7
T88.53XD …… subsequent encounter
T88.53XS …… sequela
T88.59 Other complications of anesthesia
T88.59XA …… initial encounter
T88.59XD …… subsequent encounter
T88.59XS …… sequela
T88.6 Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered
T88.6XXA …… initial encounter
T88.6XXD …… subsequent encounter
T88.6XXS …… sequela
T88.7 Unspecified adverse effect of drug or medicament
T88.7XXA …… initial encounter
T88.7XXD …… subsequent encounter
T88.7XXS …… sequela
T88.8 Other specified complications of surgical and medical care, not elsewhere classified
T88.8XXA …… initial encounter
T88.8XXD …… subsequent encounter
T88.8XXS …… sequela
T88.9 Complication of surgical and medical care, unspecified
T88.9XXA …… initial encounter
T88.9XXD …… subsequent encounter

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.