T81.72XS
T81.72XS — Complication of vein following a procedure, not elsewhere classified, sequela
Billable / specific codeICD-10-CMPOA exempt
T81.72XS is a billable, specific ICD-10-CM code for complication of vein following a procedure, not elsewhere classified, 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
Risk adjustment
T81.72XS 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
T81.72XS is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Related codes at this level
Codes that share T81.72. If T81.72XS is not quite right, the correct code is usually one of these.
Questions about T81.72XS
- Is T81.72XS a billable ICD-10-CM code?
- Yes. T81.72XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T81.72XS 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).