T81.41XS — Infection following a procedure, superficial incisional surgical site, sequela
T81.41XS is a billable, specific ICD-10-CM code for infection following a procedure, superficial incisional surgical site, sequela. It is valid for submission on a claim.
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.
- Subcutaneous abscess following a procedure
- Stitch abscess following a procedure
Risk adjustment
T81.41XS 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
T81.41XS is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Related codes at this level
Codes that share T81.41. If T81.41XS is not quite right, the correct code is usually one of these.
Questions about T81.41XS
- Is T81.41XS a billable ICD-10-CM code?
- Yes. T81.41XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T81.41XS 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).