2025 ICD-10-CM code T81.1
(Active) Effective Date: N/A Revision Date: N/A Injury - Complications of surgical and medical care, not elsewhere classified (T80-T88) Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Postprocedural shock: Shock occurring during or resulting from a medical procedure.
Modifiers may be applicable depending on the circumstances of the procedure and the services provided. Consult the official modifier guidelines for appropriate modifier selection.
Medical necessity for coding T81.1 is established by the presence of documented postprocedural shock, the need for immediate intervention to stabilize the patient's hemodynamic status, and the clinical course following the event. The medical necessity must directly correlate to the procedure performed.
The clinical responsibility for managing postprocedural shock involves prompt recognition of the condition, initiation of supportive measures (e.g., fluid resuscitation, vasopressors), identification and management of the underlying cause, and monitoring for complications.This may involve multiple specialists depending on the procedure and the patient's overall health.
In simple words: Postprocedural shock is a dangerous drop in blood pressure that happens during or after a medical procedure. It's not the same as other types of shock like allergic reactions or injuries.
Postprocedural shock is shock that develops during or after a medical procedure, not otherwise specified.This excludes anaphylactic shock, electric shock, obstetric shock, shock due to anesthesia, shock following abortion or ectopic pregnancy, and traumatic shock.Additional codes may be necessary to specify the underlying cause and any associated complications.
Example 1: A patient undergoing a cardiac catheterization experiences a sudden drop in blood pressure and develops postprocedural shock due to a vascular injury at the catheterization site., A patient undergoing a major abdominal surgery develops postprocedural shock due to significant blood loss and hypovolemia., A patient receiving a spinal anesthetic experiences a sudden decrease in blood pressure and develops postprocedural shock related to the anesthetic agent.
Detailed documentation of the medical procedure performed, the onset and characteristics of the shock (e.g., vital signs, symptoms), any interventions performed (e.g., fluid resuscitation, vasopressors, other medications), and the patient's response to treatment. The documentation should also clarify the underlying cause of the shock if identified.Complete lab values and other relevant diagnostic testing results should be included.
** This code should only be used when the shock is not otherwise specified or classified elsewhere.Always ensure complete and accurate documentation to support the medical necessity and the correct coding.
- Payment Status: Active
- Specialties:Cardiology, Surgery, Anesthesiology, Critical Care Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center