T81.1

T81.1: Postprocedural shock

Non-billable headerICD-10-CM

T81.1 is a non-billable header ICD-10-CM code for postprocedural shock. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category T81

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

anaphylactic shock NOS (T78.2)
anaphylactic shock due to correct substance properly administered (T88.6)
anaphylactic shock due to serum (T80.5-)
electric shock (T75.4)
obstetric shock (O75.1)
shock due to anesthesia (T88.2)
shock following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
traumatic shock (T79.4)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Shock during or resulting from a procedure, not elsewhere classified

Excludes2 inherited from the categories above T81.1

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

Written on T81: Complications of procedures, not elsewhere classified

complications following immunization (T88.0-T88.1)
complications following infusion, transfusion and therapeutic injection (T80.-)
complications of transplanted organs and tissue (T86.-)
specified complications classified elsewhere, such as:
complication of prosthetic devices, implants and grafts (T82-T85)
dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
endosseous dental implant failure (M27.6-)
floppy iris syndrome (IFIS) (intraoperative) H21.81
intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)
ostomy complications (J95.0-, K94.-, N99.5-)
plateau iris syndrome (post-iridectomy) (postprocedural) H21.82
poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)

Other codes that can never be billed with T81.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

R55Syncope and collapse
R57Shock, not elsewhere classified
R65.21Severe sepsis with septic shock
T79.4Traumatic shock
T79.4XXATraumatic shock, initial encounter
T79.4XXDTraumatic shock, subsequent encounter
T79.4XXSTraumatic shock, sequela
T88.2Shock due to anesthesia

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead T81.1

4 child codes. Green means billable.