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T81.42XA
Billable

Infection following a procedure, deep incisional surgical site (initial encounter)

Chapter 19: Injury, poisoning and certain other consequences of external causes

Inclusion Terms

1 item
  • Intra-muscular abscess following a procedure

Billable Code

T81.42XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Referenced in Diagnoses

Conditions that use this ICD-10 code in their documentation

View documentation for infection of surgical wound
infection of surgical wound
View Templates

Surgical Site Infection (SSI)

Additional Information from Parent Codes

The following information may apply to this code from its parent codes in the ICD-10 hierarchy. This information is important for proper coding and classification.

Inclusion Terms

2 items

From T81.4:

  • Wound abscess following a procedure

From T81.42:

  • Intra-muscular abscess following a procedure

Excludes1

2 items

From S00-T88:

Excludes2

18 items

From T81:

  • complications following immunization (T88.0-T88.1)
  • complications following infusion, transfusion and therapeutic injection (T80.-)
  • complications of transplanted organs and tissue (T86.-)
  • specified complications classified elsewhere, such as:
  • 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.-)
  • ostomy complications (J95.0-, K94.-, N99.5-)
  • 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)

From T81.4:

  • 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

4 items

From S00-T88:

  • code to identify any retained foreign body, if applicable (Z18.-)

From T81:

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

From T81.4:

  • code to identify infection
  • code (R65.2-) to identify severe sepsis, if applicable

7th Character Notes

4 items

From T81:

  • The appropriate 7th character is to be added to each code from category T81
  • A: initial encounter
  • D: subsequent encounter
  • S: sequela
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