2019 ICD-10-CM Diagnosis Code T81.41XA

Infection following a procedure, superficial incisional surgical site, initial encounter

    2019 - New Code Billable/Specific Code
  • T81.41XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Infct fol a proc, superfic incisional surgical site, init
  • ICD-10-CM T81.41XA is a new 2019 ICD-10-CM code that became effective on October 1, 2018.
  • This is the American ICD-10-CM version of T81.41XA - other international versions of ICD-10 T81.41XA may differ.
The following code(s) above T81.41XA 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 T81.41XA:
  • S00-T88
    2019 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
    2019 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 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
  • T81.4
    ICD-10-CM Diagnosis Code T81.4

    Infection following a procedure

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Wound abscess following a procedure
    Type 2 Excludes
    Use Additional
    • code to identify infection
    Infection following a procedure
  • T81.41
    ICD-10-CM Diagnosis Code T81.41

    Infection following a procedure, superficial incisional surgical site

      2019 - New Code Non-Billable/Non-Specific Code
    Applicable To
    • Subcutaneous abscess following a procedure
    • Stitch abscess following a procedure
    Infection following a procedure, superficial incisional surgical site
ICD-10-CM T81.41XA is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 793 Full term neonate with major problems
  • 856 Postoperative or post-traumatic infections with o.r. Procedure with mcc
  • 857 Postoperative or post-traumatic infections with o.r. Procedure with cc
  • 858 Postoperative or post-traumatic infections with o.r. Procedure without cc/mcc
  • 862 Postoperative and post-traumatic infections with mcc
  • 863 Postoperative and post-traumatic infections without mcc
Code History
  • 2019 (effective 10/1/2018): New code
ICD-10-CM Codes Adjacent To T81.41XA
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
T81.42XD …… subsequent encounter
T81.42XS …… sequela
T81.43 Infection following a procedure, organ and space surgical site
T81.43XA …… initial encounter
T81.43XD …… subsequent encounter
T81.43XS …… sequela

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