T88

T88: Other complications of surgical and medical care, not elsewhere classified

Non-billable headerICD-10-CM

T88 is a non-billable header ICD-10-CM code for other complications of surgical and medical care, not elsewhere classified. 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 T88

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

complication following infusion, transfusion and therapeutic injection (T80.-)
complication following procedure NEC (T81.-)
complications of anesthesia in labor and delivery (O74.-)
complications of anesthesia in pregnancy (O29.-)
complications of anesthesia in puerperium (O89.-)
complications of devices, implants and grafts (T82-T85)
complications of obstetric surgery and procedure (O75.4)
dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)
specified complications classified elsewhere

Other codes that can never be billed with T88

Their own Excludes1 notes name this code, so the conflict is not listed above.

R50Fever of other and unknown origin
R57Shock, not elsewhere classified
R68.0Hypothermia, not associated with low environmental temperature
B08.011Vaccinia not from vaccine
T67Effects of heat and light
T68Hypothermia
T68.XXXAHypothermia, initial encounter
T68.XXXDHypothermia, subsequent encounter

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead T88

10 child codes. Green means billable.