T80.319D — ABO incompatibility with hemolytic transfusion reaction, unspecified, subsequent encounter
T80.319D is a billable, specific ICD-10-CM code for abo incompatibility with hemolytic transfusion reaction, unspecified, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
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.
- ABO incompatibility with hemolytic transfusion reaction at unspecified time after transfusion
- Hemolytic transfusion reaction (HTR) due to ABO incompatibility NOS
Excludes1 inherited from the categories above T80.319D
These are not written on T80.319D, but they bind it: a note on a category applies to every code beneath it. Billing T80.319D with anything listed here is a denial.
Excludes2 inherited from the categories above T80.319D
Also inherited, and the opposite of Excludes1: these conditions are not part of T80.319D, but a patient can have both, so you may code both.
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
T80.319D 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
T80.319D is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56612Billing and Coding: CT of the Head
Code history
T80.319D has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share T80.319. If T80.319D is not quite right, the correct code is usually one of these.
Questions about T80.319D
- Is T80.319D a billable ICD-10-CM code?
- Yes. T80.319D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T80.319D 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).
- What cannot be coded together with T80.319D?
- T80.319D carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above T80.319D (T80.3) and apply to it just the same.