T88.5
T88.5: Other complications of anesthesia
Non-billable headerICD-10-CM
T88.5 is a non-billable header ICD-10-CM code for other complications of anesthesia. 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
Use additional code
Add a secondary code to capture the detail described below.
- code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5)
Excludes2 inherited from the categories above T88.5
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
Other codes that can never be billed with T88.5
Their own Excludes1 notes name this code, so the conflict is not listed above.
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 T88.5
4 child codes. Green means billable.
Other codes under T88
- T88.0Infection following immunization
- T88.1Other complications following immunization, not elsewhere classified
- T88.2Shock due to anesthesia
- T88.3Malignant hyperthermia due to anesthesia
- T88.4Failed or difficult intubation
- T88.6Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered
- T88.7Unspecified adverse effect of drug or medicament
- T88.8Other specified complications of surgical and medical care, not elsewhere classified
- T88.9Complication of surgical and medical care, unspecified