2020

  1. ICD-10-CM Codes
    2. ›
  2. S00-T88 Injury, poisoning and certain other consequences of external causes
    3. ›
  3. T80-T88 Complications of surgical and medical care, not elsewhere classified
    4. ›
  4. T81- Complications of procedures, not elsewhere classified
    5. ›
  5. 2020 ICD-10-CM Diagnosis Code T81.49XA

2020 ICD-10-CM Diagnosis Code T81.49XA

Infection following a procedure, other surgical site, initial encounter

    2019 - New Code 2020 Billable/Specific Code
  • T81.49XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Infection following a procedure, other surgical site, init
  • The 2020 edition of ICD-10-CM T81.49XA became effective on October 1, 2019.
  • This is the American ICD-10-CM version of T81.49XA - other international versions of ICD-10 T81.49XA may differ.
The following code(s) above T81.49XA 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 T81.49XA:
  • 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
  • T81.4
    ICD-10-CM Diagnosis Code T81.4

    Infection following a procedure

      2016 2017 2018 2019 2020 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
ICD-10-CM T81.49XA is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 791 Prematurity with major problems
  • 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
  • 2020 (effective 10/1/2019): No change
ICD-10-CM Codes Adjacent To T81.49XA
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
T81.44 Sepsis following a procedure
T81.44XA …… initial encounter
T81.44XD …… subsequent encounter
T81.44XS …… sequela
T81.49 Infection following a procedure, other surgical site
T81.49XA …… initial encounter
T81.49XD …… subsequent encounter
T81.49XS …… sequela
T81.5 Complications of foreign body accidentally left in body following procedure
T81.50 Unspecified complication of foreign body accidentally left in body following procedure
T81.500 Unspecified complication of foreign body accidentally left in body following surgical operation
T81.500A …… initial encounter
T81.500D …… subsequent encounter
T81.500S …… sequela
T81.501 Unspecified complication of foreign body accidentally left in body following infusion or transfusion
T81.501A …… initial encounter

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

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