T81.89XD — Other complications of procedures, not elsewhere classified, subsequent encounter
T81.89XD is a billable, specific ICD-10-CM code for other complications of procedures, not elsewhere classified, 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 to specify complication, such as:
- postprocedural delirium (F05)
Risk adjustment
T81.89XD 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
T81.89XD is named in 7 Medicare coverage policies — 6 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A55909Billing and Coding: Wound Care
Related codes at this level
Codes that share T81.89. If T81.89XD is not quite right, the correct code is usually one of these.
Questions about T81.89XD
- Is T81.89XD a billable ICD-10-CM code?
- Yes. T81.89XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T81.89XD 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).