T81.33XS

T81.33XS: Disruption of traumatic injury wound repair, sequela

Billable / specific codeICD-10-CMPOA exempt

T81.33XS is a billable, specific ICD-10-CM code for disruption of traumatic injury wound repair, sequela. It is valid for submission on a claim.

Check T81.33XS with the rest of the claim: free scrubber

7th character "S": sequela

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

A: initial encounter
D: subsequent encounter
S: sequela

Inclusion terms

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

Disruption or dehiscence of closure of traumatic laceration (external) (internal)

Excludes1 inherited from the categories above T81.33XS

A category’s note binds every code beneath it.

Written on T81.3: Disruption of wound, not elsewhere classified

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)

Excludes2 inherited from the categories above T81.33XS

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.

Medicare coverage

T81.33XS is named in 7 Medicare coverage policies: 6 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A53064Billing and Coding: Outpatient Occupational Therapy

Code history

Unchanged in every release from FY2024 to FY2027.