T81.12 — Postprocedural septic shock
T81.12 is a non-billable header ICD-10-CM code for postprocedural septic shock. 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 T81
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Code first
The underlying condition must be sequenced before this code.
- underlying infection
Use additional code
Add a secondary code to capture the detail described below.
- code, to identify any associated acute organ dysfunction, if applicable
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Postprocedural endotoxic shock resulting from a procedure, not elsewhere classified
- Postprocedural gram-negative shock resulting from a procedure, not elsewhere classified
Other codes that can never be billed with T81.12
These codes carry an Excludes1 note pointing at T81.12. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T81.12 alone.
- R65.21Severe sepsis with septic shock
Risk adjustment
T81.12 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How T81.12 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 T81.12.
- Shock›endotoxic›postprocedural(resulting from a procedure, not elsewhere classified)
- Shock›gram-negative›postprocedural(resulting from a procedure, not elsewhere classified)
- Shock›postprocedural›endotoxic
- Shock›postprocedural›gram-negative
- Shock›postprocedural›septic
Code to one of these instead T81.12
3 child codes. Green means billable.
Related codes at this level
Codes that share T81.1. If T81.12 is not quite right, the correct code is usually one of these.
Questions about T81.12
- Is T81.12 a billable ICD-10-CM code?
- No. T81.12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T81.12 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).