{"code":"T88.1XXD","type":"code","title":"Other complications following immunization, not elsewhere classified, subsequent encounter","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["vaccinia not from vaccine (B08.011)"],"excludes2":["anaphylactic shock due to serum (T80.5-)","other serum reactions (T80.6-)","postimmunization arthropathy (M02.2)","postimmunization encephalitis (G04.02)","postimmunization fever (R50.83)","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","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)","specified complications classified elsewhere, such as:","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.-)","ostomy complications (J95.0-, K94.-, N99.5-)","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":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"inclusionTerms":["Generalized vaccinia","Rash following immunization"],"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":"Other complications following immunization, not elsewhere classified, subsequent encounter is a billable ICD-10-CM diagnosis code (T88.1D). Inclusion terms: Generalized vaccinia; Rash following immunization. Excludes1 (not coded here): vaccinia not from vaccine (B08.011). Excludes2 (not included here): anaphylactic shock due to serum (T80.5-); other serum reactions (T80.6-); postimmunization arthropathy (M02.2); postimmunization encephalitis (G04.02); postimmunization fever (R50.","officialDefinition":"Other complications following immunization, not elsewhere classified, subsequent encounter is a billable ICD-10-CM diagnosis code (T88.1D). Inclusion terms: Generalized vaccinia; Rash following immunization. Excludes1 (not coded here): vaccinia not from vaccine (B08.011). Excludes2 (not included here): anaphylactic shock due to serum (T80.5-); other serum reactions (T80.6-); postimmunization arthropathy (M02.2); postimmunization encephalitis (G04.02); postimmunization fever (R50.83); 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; 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); specified complications classified elsewhere, such as:; 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.-); ostomy complications (J95.0-, K94.-, N99.5-); 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). 7th character: The appropriate 7th character is to be added to each code from category T88.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category T88"],"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":"","noteProvenance":{"complication following infusion, transfusion and therapeutic injection (T80.-)":"T88","complication following procedure NEC (T81.-)":"T88","complications of anesthesia in labor and delivery (O74.-)":"T88","complications of anesthesia in pregnancy (O29.-)":"T88","complications of anesthesia in puerperium (O89.-)":"T88","complications of devices, implants and grafts (T82-T85)":"T88","complications of obstetric surgery and procedure (O75.4)":"T88","dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)":"T88","poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)":"T88","specified complications classified elsewhere":"T88","any encounters with medical care for postprocedural conditions in which no complications are present, such as:":"T88","artificial opening status (Z93.-)":"T88","closure of external stoma (Z43.-)":"T88","fitting and adjustment of external prosthetic device (Z44.-)":"T88","burns and corrosions from local applications and irradiation (T20-T32)":"T88","complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)":"T88","mechanical complication of respirator [ventilator] (J95.850)":"T88","poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)":"T88","postprocedural fever (R50.82)":"T88","specified complications classified elsewhere, such as:":"T88","cerebrospinal fluid leak from spinal puncture (G97.0)":"T88","colostomy malfunction (K94.0-)":"T88","disorders of fluid and electrolyte imbalance (E86-E87)":"T88","functional disturbances following cardiac surgery (I97.0-I97.1)":"T88","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.-)":"T88","ostomy complications (J95.0-, K94.-, N99.5-)":"T88","postgastric surgery syndromes (K91.1)":"T88","postlaminectomy syndrome NEC (M96.1)":"T88","postmastectomy lymphedema syndrome (I97.2)":"T88","postsurgical blind-loop syndrome (K91.2)":"T88","ventilator associated pneumonia (J95.851)":"T88","code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)":"T88","code(s) to identify the specified condition resulting from the complication":"T88","code to identify devices involved and details of circumstances (Y62-Y82)":"T88","vaccinia not from vaccine (B08.011)":"T88.1","anaphylactic shock due to serum (T80.5-)":"T88.1","other serum reactions (T80.6-)":"T88.1","postimmunization arthropathy (M02.2)":"T88.1","postimmunization encephalitis (G04.02)":"T88.1","postimmunization fever (R50.83)":"T88.1","Generalized vaccinia":"T88.1","Rash following immunization":"T88.1"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}