T88.0XXA

T88.0XXA: Infection following immunization, initial encounter

Billable / specific codeICD-10-CM

T88.0XXA is a billable, specific ICD-10-CM code for infection following immunization, initial encounter. It is valid for submission on a claim.

Check T88.0XXA with the rest of the claim: free scrubber

7th character "A": initial encounter

The appropriate 7th character is to be added to each code from category T88

A: initial encounter
D: subsequent encounter
S: sequela

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Sepsis following immunization

Excludes2 inherited from the categories above T88.0XXA

Not part of this code, but both may be coded when both are present.

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

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

Risk adjustment

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

Medicare coverage

T88.0XXA is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56625Billing and Coding: Echocardiography
A56781Billing and Coding: Transthoracic Echocardiography (TTE)
A57206Billing and Coding: Lumbar MRI
A57306Billing and Coding: Transthoracic Echocardiography (TTE)

Code history

Unchanged in every release from FY2024 to FY2027.