T87.81
T87.81: Dehiscence of amputation stump
Billable / specific codeICD-10-CM
T87.81 is a billable, specific ICD-10-CM code for dehiscence of amputation stump. It is valid for submission on a claim.
Check T87.81 with the rest of the claim: free scrubberOther codes that can never be billed with T87.81
Their own Excludes1 notes name this code, so the conflict is not listed above.
- T81.31Disruption of external operation (surgical) wound, not elsewhere classified
- T81.31XADisruption of external operation (surgical) wound, not elsewhere classified, initial encounter
- T81.31XDDisruption of external operation (surgical) wound, not elsewhere classified, subsequent encounter
- T81.31XSDisruption of external operation (surgical) wound, not elsewhere classified, sequela
Risk adjustment
T87.81 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 409 Amputation Status, Lower Limb/Amputation Complications0.598 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
T87.81 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A55909Billing and Coding: Wound Care
Alphabetic index entries that lead here
- Dehiscence›amputation stump
- Complication›amputation stump NEC›dehiscence
Code history
Unchanged in every release from FY2024 to FY2027.