T87.81 — Dehiscence of amputation stump
T87.81 is a billable, specific ICD-10-CM code for dehiscence of amputation stump. It is valid for submission on a claim.
Other codes that can never be billed with T87.81
These codes carry an Excludes1 note pointing at T87.81. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T87.81 alone.
- 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.
Medicare coverage
T87.81 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A55909Billing and Coding: Wound Care
How T87.81 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to T87.81.
- Dehiscence›amputation stump
- Complication›amputation stump NEC›dehiscence
Related codes at this level
Codes that share T87.8. If T87.81 is not quite right, the correct code is usually one of these.
Questions about T87.81
- Is T87.81 a billable ICD-10-CM code?
- Yes. T87.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does T87.81 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).