{"code":"T81.6","type":"code","title":"Acute reaction to foreign substance accidentally left during a procedure","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":[],"excludes2":["complications of foreign body accidentally left in body cavity or operation wound following procedure (T81.5-)","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)","any encounters with medical care for postprocedural conditions in which no complications are present, such as:","artificial opening status (Z93.-)","closure of external stoma (Z43.-)","fitting and adjustment of external prosthetic device (Z44.-)","burns and corrosions from local applications and irradiation (T20-T32)","complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)","mechanical complication of respirator [ventilator] (J95.850)","poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)","postprocedural fever (R50.82)","cerebrospinal fluid leak from spinal puncture (G97.0)","colostomy malfunction (K94.0-)","disorders of fluid and electrolyte imbalance (E86-E87)","functional disturbances following cardiac surgery (I97.0-I97.1)","intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)","postgastric surgery syndromes (K91.1)","postlaminectomy syndrome NEC (M96.1)","postmastectomy lymphedema syndrome (I97.2)","postsurgical blind-loop syndrome (K91.2)","ventilator associated pneumonia (J95.851)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["T81.60XA","T81.60XD","T81.60XS","T81.61XA","T81.61XD","T81.61XS","T81.69XA","T81.69XD","T81.69XS"],"inclusionTerms":[],"sibling_titles":{"code":"T81.69XS","title":"Other acute reaction to foreign substance accidentally left during a procedure, sequela","isBillable":true},"useAdditionalCode":["code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)","code(s) to identify the specified condition resulting from the complication","code to identify devices involved and details of circumstances (Y62-Y82)"],"clinicalDefinition":"Acute reaction to foreign substance accidentally left during a procedure is a non-billable ICD-10-CM category code (T81.6). A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): complications of foreign body accidentally left in body cavity or operation wound following procedure (T81.5-); complications following immunization (T88.0-T88.1); complications following infusion, transfusion and therapeutic injection (T80.","officialDefinition":"Acute reaction to foreign substance accidentally left during a procedure is a non-billable ICD-10-CM category code (T81.6). A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): complications of foreign body accidentally left in body cavity or operation wound following procedure (T81.5-); 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); any encounters with medical care for postprocedural conditions in which no complications are present, such as:; artificial opening status (Z93.-); closure of external stoma (Z43.-); fitting and adjustment of external prosthetic device (Z44.-); burns and corrosions from local applications and irradiation (T20-T32); complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A); mechanical complication of respirator [ventilator] (J95.850); poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6); postprocedural fever (R50.82); cerebrospinal fluid leak from spinal puncture (G97.0); colostomy malfunction (K94.0-); disorders of fluid and electrolyte imbalance (E86-E87); functional disturbances following cardiac surgery (I97.0-I97.1); intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-); postgastric surgery syndromes (K91.1); postlaminectomy syndrome NEC (M96.1); postmastectomy lymphedema syndrome (I97.2); postsurgical blind-loop syndrome (K91.2); ventilator associated pneumonia (J95.851). Use additional code: code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5). 7th character: The appropriate 7th character is to be added to each code from category T81.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category T81"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}