I97.0 vs T84.50XA
I97.0 (Postcardiotomy syndrome) compared with T84.50XA (Infection and inflammatory reaction due to unspecified internal joint prosthesis, initial 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. T84.50XA 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 syndrome | T84.50XAInfection and inflammatory reaction due to unspecified internal joint prosthesis, initial encounter | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | I00-I99 — Diseases of the Circulatory System (I00-I99) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Postcardiotomy syndrome is a billable ICD-10-CM diagnosis code (I97.0). | — |
| 7th character | — | The appropriate 7th character is to be added to each code from category T84 |
| Use additional code | — | code to identify infection 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 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources