2025 ICD-10-CM code T88
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury, poisoning and other consequences of external causes - Other complications of surgical and medical care, not elsewhere classified XIX Injury, poisoning and certain other consequences of external causes Feed
Other complications of surgical and medical care, not elsewhere classified.
Modifiers might be applicable depending on the specific circumstance and additional codes used.Consult the appropriate guidelines for modifier use.
Medical necessity is established by the presence of a documented complication following a surgical or medical procedure that requires additional intervention, treatment, and/or hospitalization.The severity and clinical impact of the complication justify the medical necessity.
The clinical responsibility for this code depends on the specific complication.It could involve surgeons, physicians, nurses, or other healthcare professionals involved in the patient's care.
- XIX Injury, poisoning and certain other consequences of external causes
- T80-T88 Complications of surgical and medical care, not elsewhere classified
In simple words: This code is for problems that happen after surgery or medical treatment that aren't listed in other medical codes.It's used when there's a complication, but it's not one of the specific kinds already described in other medical codes.
This code encompasses complications arising from surgical or medical care that aren't classified elsewhere.It excludes complications specifically listed in other ICD-10-CM categories, such as those related to anesthesia, devices, implants, grafts, obstetric procedures, or specific post-procedural conditions without complications.Additional codes may be necessary to specify the complication and any associated factors (e.g., drug, device, circumstance).
Example 1: A patient develops a postoperative infection after abdominal surgery requiring additional antibiotic treatment and hospitalization.Code T88 is used to indicate the postoperative complication, along with additional codes for the specific infection and the surgical procedure., A patient experiences a severe allergic reaction to a medication administered during a medical procedure, requiring emergency intervention and treatment. Code T88 is assigned, along with codes identifying the medication and the allergic reaction., Following a cardiac catheterization, a patient develops a hematoma at the insertion site, requiring further intervention and management.Code T88 is used to represent the post-procedural complication, with supplemental codes describing the hematoma and procedure.
Detailed operative notes, medication administration records, progress notes documenting the complication, laboratory results, imaging reports (if applicable), and any additional treatment provided.
** This code is a catch-all for complications not specifically listed elsewhere.Accurate coding requires detailed documentation of the complication, its cause, and associated treatments.Always consult the most up-to-date ICD-10-CM guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:All surgical and medical specialties.
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Office