T80.1XXS — Vascular complications following infusion, transfusion and therapeutic injection, sequela
T80.1XXS is a billable, specific ICD-10-CM code for vascular complications following infusion, transfusion and therapeutic injection, sequela. It is valid for submission on a claim.
7th character "S" — sequela
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
T80.1XXS 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
T80.1XXS is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share T80.1. If T80.1XXS is not quite right, the correct code is usually one of these.
Questions about T80.1XXS
- Is T80.1XXS a billable ICD-10-CM code?
- Yes. T80.1XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T80.1XXS 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).