T81.40
T81.40: Infection following a procedure, unspecified
Non-billable headerICD-10-CM
T81.40 is a non-billable header ICD-10-CM code for infection following a procedure, unspecified. 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
Excludes2 inherited from the categories above T81.40
Not part of this code, but both may be coded when both are present.
Written on T81.4: Infection following a procedure
- bleb associated endophthalmitis (H59.4-)
- infection due to infusion, transfusion and therapeutic injection (T80.2-)
- infection due to prosthetic devices, implants and grafts (T82.6-T82.7, T83.5-T83.6, T84.5-T84.7, T85.7)
- obstetric surgical wound infection (O86.0-)
- postprocedural fever NOS (R50.82)
- postprocedural retroperitoneal abscess (K68.11)
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.
Alphabetic index entries that lead here
- Infection, infected, infective›postoperative
- Infection, infected, infective›postprocedural
- Fever›postoperative›due to infection
- Infection, infected, infective›due to or resulting from›surgery
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead T81.40
3 child codes. Green means billable.
Other codes under T81.4
- T81.41Infection following a procedure, superficial incisional surgical site
- T81.42Infection following a procedure, deep incisional surgical site
- T81.43Infection following a procedure, organ and space surgical site
- T81.44Sepsis following a procedure
- T81.49Infection following a procedure, other surgical site