T81.12: Postprocedural septic shock
T81.12 is a non-billable header ICD-10-CM code for postprocedural septic 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
Code first
The underlying condition must be sequenced before this code.
- underlying infection
Use additional code
Add a secondary code to capture the detail described below.
- code, to identify any associated acute organ dysfunction, if applicable
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Postprocedural endotoxic shock resulting from a procedure, not elsewhere classified
- Postprocedural gram-negative shock resulting from a procedure, not elsewhere classified
Excludes1 inherited from the categories above T81.12
A category’s note binds every code beneath it.
Written on T81.1: Postprocedural shock
- 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)
Excludes2 inherited from the categories above T81.12
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 T81.12
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R65.21Severe sepsis with septic shock
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Shock›endotoxic›postprocedural(resulting from a procedure, not elsewhere classified)
- Shock›gram-negative›postprocedural(resulting from a procedure, not elsewhere classified)
- Shock›postprocedural›endotoxic
- Shock›postprocedural›gram-negative
- Shock›postprocedural›septic
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead T81.12
3 child codes. Green means billable.