T80.69XA
T80.69XA: Other serum reaction due to other serum, initial encounter
Billable / specific codeICD-10-CM
T80.69XA is a billable, specific ICD-10-CM code for other serum reaction due to other serum, initial encounter. It is valid for submission on a claim.
Check T80.69XA with the rest of the claim: free scrubber7th 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
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- , if applicable, arthropathy in hypersensitivity reactions classified elsewhere (M36.4)
Excludes2 inherited from the categories above T80.69XA
Not part of this code, but both may be coded when both are present.
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
T80.69XA is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56558Billing and Coding: Allergy Testing
- A56612Billing and Coding: CT of the Head
- A57531Billing and Coding: Allergy Testing
Code history
Unchanged in every release from FY2024 to FY2027.