T81.83XD — Persistent postprocedural fistula, subsequent encounter
T81.83XD is a billable, specific ICD-10-CM code for persistent postprocedural fistula, subsequent encounter. It is valid for submission on a claim.
7th character "D" — subsequent encounter
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 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-)
Risk adjustment
T81.83XD 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
T81.83XD is named in 4 Medicare coverage policies — 4 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
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57206Billing and Coding: Lumbar MRI
Related codes at this level
Codes that share T81.83. If T81.83XD is not quite right, the correct code is usually one of these.
Questions about T81.83XD
- Is T81.83XD a billable ICD-10-CM code?
- Yes. T81.83XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T81.83XD 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).