T88.6

T88.6: Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered

Non-billable headerICD-10-CM

T88.6 is a non-billable header ICD-10-CM code for anaphylactic reaction due to adverse effect of correct drug or medicament properly administered. 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

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

anaphylactic reaction due to serum (T80.5-)
anaphylactic shock or reaction due to adverse food reaction (T78.0-)

Use additional code

Add a secondary code to capture the detail described below.

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Inclusion terms

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

Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
Anaphylactoid reaction NOS

Excludes2 inherited from the categories above T88.6

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 T88.6

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

R57Shock, not elsewhere classified
T78.2Anaphylactic shock, unspecified
T78.2XXAAnaphylactic shock, unspecified, initial encounter
T78.2XXDAnaphylactic shock, unspecified, subsequent encounter
T78.2XXSAnaphylactic shock, unspecified, sequela
T79.4Traumatic shock
T79.4XXATraumatic shock, initial encounter
T79.4XXDTraumatic shock, subsequent encounter

Risk adjustment

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

Alphabetic index entries that lead here

Shock›drug›due to correct substance properly administered
Allergy, allergic›shock›due to›adverse effect of correct medicinal substance properly administered
Shock›anaphylactic›due to drug or medicinal substance›correct substance properly administered