T81.83

T81.83: Persistent postprocedural fistula

Non-billable headerICD-10-CM

T81.83 is a non-billable header ICD-10-CM code for persistent postprocedural fistula. 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

Use additional code

Add a secondary code to capture the detail described below.

code, if known, for site of fistula such as:
anal fistula (K60.3-)
anorectal fistula (K60.5-)
bladder fistula (N32.2)
other female intestinal-genital tract fistulae (N82.4)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

, if applicable, disruption of internal operation (surgical) wound (T81.32-)

Excludes2 inherited from the categories above T81.83

Not part of this code, but both may be coded when both are present.

Written on T81.8: Other complications of procedures, not elsewhere classified

hypothermia following anesthesia (T88.51)
malignant hyperpyrexia due to anesthesia (T88.3)

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.

Alphabetic index entries that lead here

Fistula›postoperative, persistent
Complication›surgical procedure›fistula(persistent postoperative)

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead T81.83

3 child codes. Green means billable.