2020 ICD-10-CM Diagnosis Code T81.4

Infection following a procedure

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • T81.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM T81.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of T81.4 - other international versions of ICD-10 T81.4 may differ.
Applicable To
  • Wound abscess following a procedure
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 to identify infection
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (T81.4) and the excluded code together.
  • bleb associated endophthalmitis (
    ICD-10-CM Diagnosis Code H59.4

    Inflammation (infection) of postprocedural bleb

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Postprocedural blebitis
    Type 1 Excludes
    • filtering (vitreous) bleb after glaucoma surgery status (Z98.83)
    H59.4-
    )
  • infection due to infusion, transfusion and therapeutic injection (
    ICD-10-CM Diagnosis Code T80.2

    Infections following infusion, transfusion and therapeutic injection

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    Use Additional
    • code to identify the specific infection, such as:
    • sepsis (A41.9)
    T80.2-
    )
  • infection due to prosthetic devices, implants and grafts (
    ICD-10-CM Diagnosis Code T82.6

    Infection and inflammatory reaction due to cardiac valve prosthesis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify infection
    T82.6-
    ICD-10-CM Diagnosis Code T82.7

    Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify infection
    T82.7
    ,
    ICD-10-CM Diagnosis Code T83.5

    Infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify infection
    T83.5-
    ICD-10-CM Diagnosis Code T83.6

    Infection and inflammatory reaction due to prosthetic device, implant and graft in genital tract

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify infection
    T83.6
    ,
    ICD-10-CM Diagnosis Code T84.5

    Infection and inflammatory reaction due to internal joint prosthesis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify infection
    T84.5-
    ICD-10-CM Diagnosis Code T84.7

    Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify infection
    T84.7
    ,
    ICD-10-CM Diagnosis Code T85.7

    Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify infection
    T85.7
    )
  • obstetric surgical wound infection (
    ICD-10-CM Diagnosis Code O86.0

    Infection of obstetric surgical wound

      2016 2017 2018 2019 - Converted to Parent Code 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Infected cesarean delivery wound following delivery
    • Infected perineal repair following delivery
    Type 1 Excludes
    • complications of procedures, not elsewhere classified (T81.4-)
    • postprocedural fever NOS (R50.82)
    • postprocedural retroperitoneal abscess (K68.11)
    O86.0-
    )
  • postprocedural fever NOS (
    ICD-10-CM Diagnosis Code R50.82

    Postprocedural fever

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    • postprocedural infection (T81.4-)
    • posttransfusion fever (R50.84)
    • postvaccination (postimmunization) fever (R50.83)
    R50.82
    )
  • postprocedural retroperitoneal abscess (
    ICD-10-CM Diagnosis Code K68.11

    Postprocedural retroperitoneal abscess

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 2 Excludes
    • infection following procedure (T81.4-)
    K68.11
    )
The following code(s) above T81.4 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 T81.4:
  • S00-T88
    2020 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
    2020 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
  • T81
    ICD-10-CM Diagnosis Code T81

    Complications of procedures, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    Use Additional
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    Complications of procedures, not elsewhere classified
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to T81.4:
  • Code First: A40
    , A41
    , R65.2
    ICD-10-CM Diagnosis Code A40

    Streptococcal sepsis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • postprocedural streptococcal sepsis (T81.4-)
    • streptococcal sepsis during labor (O75.3)
    • streptococcal sepsis following abortion or ectopic or molar pregnancy (O03-O07, O08.0)
    • streptococcal sepsis following immunization (T88.0)
    • streptococcal sepsis following infusion, transfusion or therapeutic injection (T80.2-)
    Type 1 Excludes
    ICD-10-CM Diagnosis Code A41

    Other sepsis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • postprocedural sepsis (T81.4-)
    • sepsis during labor (O75.3)
    • sepsis following abortion, ectopic or molar pregnancy (O03-O07, O08.0)
    • sepsis following immunization (T88.0)
    • sepsis following infusion, transfusion or therapeutic injection (T80.2-)
    Type 1 Excludes
    Type 2 Excludes
    • sepsis (due to) (in) actinomycotic (A42.7)
    • sepsis (due to) (in) anthrax (A22.7)
    • sepsis (due to) (in) candidal (B37.7)
    • sepsis (due to) (in) Erysipelothrix (A26.7)
    • sepsis (due to) (in) extraintestinal yersiniosis (A28.2)
    • sepsis (due to) (in) gonococcal (A54.86)
    • sepsis (due to) (in) herpesviral (B00.7)
    • sepsis (due to) (in) listerial (A32.7)
    • sepsis (due to) (in) melioidosis (A24.1)
    • sepsis (due to) (in) meningococcal (A39.2-A39.4)
    • sepsis (due to) (in) plague (A20.7)
    • sepsis (due to) (in) tularemia (A21.7)
    • toxic shock syndrome (A48.3)
    ICD-10-CM Diagnosis Code R65.2

    Severe sepsis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Infection with associated acute organ dysfunction
    • Sepsis with acute organ dysfunction
    • Sepsis with multiple organ dysfunction
    • Systemic inflammatory response syndrome due to infectious process with acute organ dysfunction
    Code First
    • underlying infection, such as:
    • infection following a procedure (T81.4-)
    • infections following infusion, transfusion and therapeutic injection (T80.2-)
    • puerperal sepsis (O85)
    • sepsis following complete or unspecified spontaneous abortion (O03.87)
    • sepsis following ectopic and molar pregnancy (O08.82)
    • sepsis following incomplete spontaneous abortion (O03.37)
    • sepsis following (induced) termination of pregnancy (O04.87)
    • sepsis NOS (A41.9)
    Use Additional
    • code to identify specific acute organ dysfunction, such as:
    • acute kidney failure (N17.-)
    • acute respiratory failure (J96.0-)
    • critical illness myopathy (G72.81)
    • critical illness polyneuropathy (G62.81)
    • disseminated intravascular coagulopathy [DIC] (D65)
    • encephalopathy (metabolic) (septic) (G93.41)
    • hepatic failure (K72.0-)
  • Type 1 Excludes: O86.0
    , R50.82
    ICD-10-CM Diagnosis Code O86.0

    Infection of obstetric surgical wound

      2016 2017 2018 2019 - Converted to Parent Code 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Infected cesarean delivery wound following delivery
    • Infected perineal repair following delivery
    Type 1 Excludes
    • complications of procedures, not elsewhere classified (T81.4-)
    • postprocedural fever NOS (R50.82)
    • postprocedural retroperitoneal abscess (K68.11)
    ICD-10-CM Diagnosis Code R50.82

    Postprocedural fever

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    • postprocedural infection (T81.4-)
    • posttransfusion fever (R50.84)
    • postvaccination (postimmunization) fever (R50.83)
  • Type 2 Excludes: T80.2
    , K68.11
    ICD-10-CM Diagnosis Code T80.2

    Infections following infusion, transfusion and therapeutic injection

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    Use Additional
    • code to identify the specific infection, such as:
    • sepsis (A41.9)
    ICD-10-CM Diagnosis Code K68.11

    Postprocedural retroperitoneal abscess

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 2 Excludes
    • infection following procedure (T81.4-)
ICD-10-CM Codes Adjacent To T81.4
T81.31XD …… subsequent encounter
T81.31XS …… sequela
T81.32 Disruption of internal operation (surgical) wound, not elsewhere classified
T81.32XA …… initial encounter
T81.32XD …… subsequent encounter
T81.32XS …… sequela
T81.33 Disruption of traumatic injury wound repair
T81.33XA …… initial encounter
T81.33XD …… subsequent encounter
T81.33XS …… sequela
T81.4 Infection following a procedure
T81.40 Infection following a procedure, unspecified
T81.40XA …… initial encounter
T81.40XD …… subsequent encounter
T81.40XS …… sequela
T81.41 Infection following a procedure, superficial incisional surgical site
T81.41XA …… initial encounter
T81.41XD …… subsequent encounter
T81.41XS …… sequela
T81.42 Infection following a procedure, deep incisional surgical site
T81.42XA …… initial encounter

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