T88 — Other complications of surgical and medical care, not elsewhere classified
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
These codes carry an Excludes1 note pointing at T88. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading T88 alone.
Risk adjustment
T88 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.
Code to one of these instead T88
10 child codes. Green means billable.
- 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
- T88.5Other complications of anesthesia
- 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
Questions about T88
- Is T88 a billable ICD-10-CM code?
- No. T88 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does T88 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).