T80.212S

T80.212S: Local infection due to central venous catheter, sequela

Billable / specific codeICD-10-CMPOA exempt

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.

Check T80.212S with the rest of the claim: free scrubber

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

Excludes2 inherited from the categories above T80.212S

Not part of this code, but both may be coded when both are present.

Written on T80.2: Infections following infusion, transfusion and therapeutic injection

infections specified as due to prosthetic devices, implants and grafts (T82.6-T82.7, T83.5-T83.6, T84.5-T84.7, T85.7)
postprocedural infections (T81.4-)

Written on T80: Complications following infusion, transfusion and therapeutic injection

bone marrow transplant rejection (T86.01)
febrile nonhemolytic transfusion reaction (R50.84)
fluid overload due to transfusion (E87.71)
posttransfusion purpura (D69.51)
transfusion associated circulatory overload (TACO) (E87.71)
transfusion (red blood cell) associated hemochromatosis (E83.111)
transfusion related acute lung injury (TRALI) (J95.84)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

T80.212S is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Code history

Unchanged in every release from FY2024 to FY2027.