T81.6 — Acute reaction to foreign substance accidentally left during a procedure
T81.6 is a non-billable header ICD-10-CM code for acute reaction to foreign substance accidentally left during a procedure. 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 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- complications of foreign body accidentally left in body cavity or operation wound following procedure (T81.5-)
Other codes that can never be billed with T81.6
These codes carry an Excludes1 note pointing at T81.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T81.6 alone.
- K65Peritonitis
Risk adjustment
T81.6 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.
Code to one of these instead T81.6
3 child codes. Green means billable.
Related codes at this level
Codes that share T81. If T81.6 is not quite right, the correct code is usually one of these.
- T81.1Postprocedural shock
- T81.3Disruption of wound, not elsewhere classified
- T81.4Infection following a procedure
- T81.5Complications of foreign body accidentally left in body following procedure
- T81.7Vascular complications following a procedure, not elsewhere classified
- T81.8Other complications of procedures, not elsewhere classified
- T81.9Unspecified complication of procedure
Questions about T81.6
- Is T81.6 a billable ICD-10-CM code?
- No. T81.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T81.6 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).