T81.3

T81.3: Disruption of wound, not elsewhere classified

Non-billable headerICD-10-CM

T81.3 is a non-billable header ICD-10-CM code for disruption of wound, not elsewhere classified. 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.

breakdown (mechanical) of permanent sutures (T85.612)
displacement of permanent sutures (T85.622)
disruption of cesarean delivery wound (O90.0)
disruption of perineal obstetric wound (O90.1)
mechanical complication of permanent sutures NEC (T85.692)

Inclusion terms

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

Disruption of any suture materials or other closure methods

Excludes2 inherited from the categories above T81.3

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)

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 T81.3

4 child codes. Green means billable.