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BETA v.3.0

2025 ICD-10-CM code T88.0

Infection following immunization

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Use additional code to identify any retained foreign body, if applicable (Z18.-). Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5). Use additional code(s) to identify the specified condition resulting from the complication. Use additional code to identify devices involved and details of circumstances (Y62-Y82).

Seventh character is required to specify the encounter (A=initial encounter, D=subsequent encounter, S=sequela).

Medical necessity is established by the presence of an infection directly related to the administration of an immunization.

The clinician is responsible for observing the patient for any signs of infection post-immunization and providing appropriate treatment if necessary.

In simple words: Developing an infection after receiving a vaccination.

Infection following immunization, Sepsis following immunization

Example 1: A patient develops a localized skin infection at the injection site after receiving a flu vaccine., A patient experiences systemic symptoms, such as fever and chills, indicative of a more widespread infection after being immunized., A patient develops sepsis, a life-threatening condition, as a rare complication following immunization.

Documentation should include the type of immunization given, the date of administration, the specific signs and symptoms of the infection, and any treatment provided.

** Excludes1: birth trauma (P10-P15), obstetric trauma (O70-O71). Excludes2: 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.

  • Specialties:Infectious Disease, Family Medicine, Internal Medicine, Pediatrics
  • Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Public Health Clinic
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