2025 ICD-10-CM code T80
Complications following infusion, transfusion, and therapeutic injection.
Modifiers may be applicable depending on the specific circumstances and the complication.Consult the official coding guidelines and payer policies for specific modifier rules.
Medical necessity for coding T80 is established when a complication arises directly from an infusion, transfusion, or therapeutic injection. The complication must be documented appropriately, and its severity must warrant medical intervention.
The clinical responsibility for this code depends on the specific complication and the setting. It might involve the physician administering the infusion/transfusion, the nurses managing the patient's care, or other specialists depending on the complication.If an infection occurs, infectious disease specialists might be involved.If a vascular complication occurs, vascular surgeons or interventional radiologists might be involved.The physician responsible for ordering and supervising the procedure bears the ultimate responsibility.
- Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T88)
- T80-T88: Complications of surgical and medical care, not elsewhere classified
In simple words: This code covers problems that happen after getting a shot, blood transfusion, or IV fluids.These problems can include things like blood clots, infections, or severe allergic reactions.Doctors use more specific codes if they know what exactly happened.
This code encompasses complications arising from infusions, transfusions, and therapeutic injections.These complications may include, but are not limited to, air embolism, vascular complications (such as thrombosis, phlebitis, or hematoma), infections, allergic reactions (anaphylaxis), and other adverse reactions.Specific complications should be further specified with additional codes when possible, such as infections (T80.2), ABO incompatibility (T80.3), or Rh incompatibility (T80.4).The code excludes complications classified elsewhere, such as bone marrow transplant rejection, febrile nonhemolytic transfusion reaction, fluid overload, post-transfusion purpura, transfusion-associated circulatory overload (TACO), transfusion-related acute lung injury (TRALI), and transfusion (red blood cell)-associated hemochromatosis.
Example 1: A patient develops a localized infection at the intravenous (IV) site after receiving antibiotics through an IV line.The infection requires treatment with antibiotics and results in a delay in the patient's discharge. , A patient experiences an anaphylactic reaction (severe allergic reaction) after receiving a blood transfusion.The patient’s blood pressure drops, they exhibit respiratory distress, and the reaction requires immediate emergency intervention including epinephrine administration. , A patient develops a blood clot in a vein following an infusion of fluids. This results in swelling, pain, and requires anticoagulant treatment.
Detailed documentation should include the type of infusion, transfusion, or injection administered (e.g., type of fluid, blood product, medication); the route of administration (e.g., intravenous, intramuscular); the date and time of administration; the onset, symptoms, and severity of the complication; any diagnostic tests performed (e.g., blood cultures, imaging studies); and the treatment provided.
** This code is broad, requiring careful consideration and use of additional codes to ensure accurate billing and clinical documentation.Always refer to the most up-to-date official ICD-10-CM coding guidelines for detailed information and any updates.
- Payment Status: Active
- Specialties:Hematology, Oncology, Infectious Disease, Internal Medicine, Emergency Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Emergency Room - Hospital, Office