AutoICD API

T81.4

Non-billable

Infection following a procedure

Infection following a procedure

This is a header/category code. For billing purposes, use a more specific child code from the list below.

Status

Non-billable / Header

Block

T80-T88

Parent Code

T81

Child Codes

6

Coding Notes

Inclusion Terms

Alternative clinical terms for this condition

  • Wound abscess following a procedure

Excludes 1

Codes that cannot be used together with this code (mutual exclusion)

Excludes 2

Conditions not included here, but the patient may have both

  • any encounters with medical care for postprocedural conditions in which no complications are present, such as:
  • artificial opening status (Z93.-)
  • closure of external stoma (Z43.-)
  • fitting and adjustment of external prosthetic device (Z44.-)
  • burns and corrosions from local applications and irradiation (T20-T32)
  • complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
  • mechanical complication of respirator [ventilator] (J95.850)
  • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
  • postprocedural fever (R50.82)
  • specified complications classified elsewhere, such as:
  • cerebrospinal fluid leak from spinal puncture (G97.0)
  • colostomy malfunction (K94.0-)
  • disorders of fluid and electrolyte imbalance (E86-E87)
  • functional disturbances following cardiac surgery (I97.0-I97.1)
  • intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
  • ostomy complications (J95.0-, K94.-, N99.5-)
  • postgastric surgery syndromes (K91.1)
  • postlaminectomy syndrome NEC (M96.1)
  • postmastectomy lymphedema syndrome (I97.2)
  • postsurgical blind-loop syndrome (K91.2)
  • ventilator associated pneumonia (J95.851)
  • complications following immunization (T88.0-T88.1)
  • complications following infusion, transfusion and therapeutic injection (T80.-)
  • complications of transplanted organs and tissue (T86.-)
  • complication of prosthetic devices, implants and grafts (T82-T85)
  • dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
  • endosseous dental implant failure (M27.6-)
  • floppy iris syndrome (IFIS) (intraoperative) H21.81
  • intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)
  • plateau iris syndrome (post-iridectomy) (postprocedural) H21.82
  • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)
  • bleb associated endophthalmitis (H59.4-)
  • infection due to infusion, transfusion and therapeutic injection (T80.2-)
  • infection due to prosthetic devices, implants and grafts (T82.6-T82.7, T83.5-T83.6, T84.5-T84.7, T85.7)
  • obstetric surgical wound infection (O86.0-)
  • postprocedural fever NOS (R50.82)
  • postprocedural retroperitoneal abscess (K68.11)

Use Additional Code

Additional codes that should follow this code

  • code to identify any retained foreign body, if applicable (Z18.-)
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
  • code to identify infection

Code Also

A second code may be required; sequencing depends on circumstances

  • , if applicable, disruption of internal operation (surgical) wound (T81.32-)

Child Codes (6)

T81.40

Infection following a procedure, unspecified

T81.41

Infection fol a procedure, superfic incisional surgical site

T81.42

Infection fol a procedure, deep incisional surgical site

T81.43

Infection fol a procedure, organ and space surgical site

T81.44

Sepsis following a procedure

T81.49

Infection following a procedure, other surgical site

Also Known As / Clinical Terms

UMLS

Frequently Asked Questions

What is ICD-10 code T81.4?

ICD-10-CM code T81.4 represents "Infection following a procedure". It is a non-billable header code — use a more specific child code for billing purposes.

Is T81.4 a billable code?

No, T81.4 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 6 child codes under T81.4.

What chapter is T81.4 in?

T81.4 is in Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (codes S00-T88).

What codes cannot be used with T81.4?

T81.4 has Excludes1 notes indicating codes that cannot be used together with it, including: birth trauma (P10-P15); obstetric trauma (O70-O71).

What are the subcategories under T81.4?

T81.4 has 6 child codes, including: T81.40 (Infection following a procedure, unspecified), T81.41 (Infection fol a procedure, superfic incisional surgical site), T81.42 (Infection fol a procedure, deep incisional surgical site), T81.43 (Infection fol a procedure, organ and space surgical site), and 2 more.

Are additional codes required with T81.4?

Yes, when using T81.4 you should also code: code to identify any retained foreign body, if applicable (Z18.-); code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5); code to identify infection.

What are the UMLS CUIs for T81.4?

T81.4 is linked to 2 UMLS Concept Unique Identifiers: C2886863, C2886862. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.