T80.1XXA — Vascular complications following infusion, transfusion and therapeutic injection, initial encounter
T80.1XXA is a billable, specific ICD-10-CM code for vascular complications following infusion, transfusion and therapeutic injection, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category T80
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Use additional code
Add a secondary code to capture the detail described below.
- code to identify the vascular complication
Risk adjustment
T80.1XXA does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
T80.1XXA is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56612Billing and Coding: CT of the Head
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A56758Billing and Coding: Non-Invasive Vascular Studies
- A57593Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies
Related codes at this level
Codes that share T80.1. If T80.1XXA is not quite right, the correct code is usually one of these.
Questions about T80.1XXA
- Is T80.1XXA a billable ICD-10-CM code?
- Yes. T80.1XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T80.1XXA sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Complications of surgical and medical care, not elsewhere classified (T80-T88).