T81.72XA — Complication of vein following a procedure, not elsewhere classified, initial encounter
T81.72XA is a billable, specific ICD-10-CM code for complication of vein following a procedure, not elsewhere classified, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category T81
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
T81.72XA 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
T81.72XA is named in 19 Medicare coverage policies — 19 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52993Billing and Coding: Peripheral Venous Ultrasound
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
Related codes at this level
Codes that share T81.72. If T81.72XA is not quite right, the correct code is usually one of these.
Questions about T81.72XA
- Is T81.72XA a billable ICD-10-CM code?
- Yes. T81.72XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T81.72XA 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).