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Compare/I97.0 vs T80.62XD

I97.0 vs T80.62XD

I97.0 (Postcardiotomy syndrome) compared with T80.62XD (Other serum reaction due to vaccination, subsequent encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. T80.62XD carries an Excludes2 note covering I97.0: “functional disturbances following cardiac surgery (I97.0-I97.1)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

I97.0Postcardiotomy syndromeT80.62XDOther serum reaction due to vaccination, subsequent encounter
Billing statusBillableBillable
ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionPostcardiotomy syndrome is a billable ICD-10-CM diagnosis code (I97.0).Other serum reaction due to vaccination, subsequent encounter is a billable ICD-10-CM diagnosis code (T80.62D).
7th characterThe appropriate 7th character is to be added to each code from category T80
Includes
complications following perfusion
Use additional code
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)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources