T81.12XD — Postprocedural septic shock, subsequent encounter
T81.12XD is a billable, specific ICD-10-CM code for postprocedural septic shock, 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 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
Risk adjustment
T81.12XD 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
T81.12XD is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A55336Billing and Coding: Retroperitoneal Ultrasound
Related codes at this level
Codes that share T81.12. If T81.12XD is not quite right, the correct code is usually one of these.
Questions about T81.12XD
- Is T81.12XD a billable ICD-10-CM code?
- Yes. T81.12XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T81.12XD 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).