T81.44XS

T81.44XS: Sepsis following a procedure, sequela

Billable / specific codeICD-10-CMPOA exempt

T81.44XS is a billable, specific ICD-10-CM code for sepsis following a procedure, sequela. It is valid for submission on a claim.

Check T81.44XS 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

Use additional code

Add a secondary code to capture the detail described below.

code to identify the sepsis

Excludes2 inherited from the categories above T81.44XS

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.

Medicare coverage

T81.44XS is named in 14 Medicare coverage policies: 14 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52868Billing and Coding: Transesophageal Echocardiography (TEE)
A53057Billing and Coding: Home Health Occupational Therapy
A53064Billing and Coding: Outpatient Occupational Therapy
A55336Billing and Coding: Retroperitoneal Ultrasound

Code history

Unchanged in every release from FY2024 to FY2027.