T80.212S — Local infection due to central venous catheter, sequela
T80.212S is a billable, specific ICD-10-CM code for local infection due to central venous catheter, 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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Exit or insertion site infection
- Local infection due to Hickman catheter
- Local infection due to peripherally inserted central catheter (PICC)
- Local infection due to portacath (port-a-cath)
- Local infection due to pulmonary artery catheter
- Local infection due to triple lumen catheter
- Local infection due to umbilical venous catheter
- Port or reservoir infection
- Tunnel infection
Risk adjustment
T80.212S 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
T80.212S 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.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56612Billing and Coding: CT of the Head
Related codes at this level
Codes that share T80.212. If T80.212S is not quite right, the correct code is usually one of these.
Questions about T80.212S
- Is T80.212S a billable ICD-10-CM code?
- Yes. T80.212S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T80.212S 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).