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T79.0 vs T81.719D

T79.0 (Air embolism (traumatic)) compared with T81.719D (Complication of unspecified artery following a procedure, not elsewhere classified, subsequent encounter), from the official CMS tabular data.

Summary

These codes should not be reported together because T79.0’s tabular entry lists T81.719D under Excludes1.

Official rule
What is different?

The conditions named and billing status.T79.0 is “Air embolism (traumatic)”; T81.719D is “Complication of unspecified artery following a procedure, not elsewhere classified, subsequent encounter”. T79.0 is a non-billable header; T81.719D is billable.

Registry fact

Can these codes be reported together?

No.T79.0’s entry carries an Excludes1 note covering T81.719D: “air embolism following procedure NEC (T81.7-)”. Both may be reported only when the documentation shows the two conditions are unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

Yes.T79.0’s tabular entry: “air embolism following procedure NEC (T81.7-)”. The note covers T81.719D.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes2 relationship?

Yes.T79.0’s tabular entry: “complications occurring during or following medical procedures (T80-T88)”. The note covers T81.719D.

Official ruleGuide: Excludes1 vs Excludes2

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

One is a header.T79.0 is a non-billable header, but T81.719D is not one of its subdivisions.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Conflict

Excludes1 conflict

T79.0
Air embolism (traumatic)
↔
T81.719D
Complication of unspecified artery following a procedure, not elsewhere classified, subsequent encounter

What we found

No — do not report together.T79.0 carries an Excludes1 note covering T81.719D: “air embolism following procedure NEC (T81.7-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

What to review

Report one of the two. Both may be reported only when the documentation shows the two conditions are unrelated to each other.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source / rule

CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Informational

Excludes2 relationship

T79.0
Air embolism (traumatic)
↔
T81.719D
Complication of unspecified artery following a procedure, not elsewhere classified, subsequent encounter

What we found

Yes, when both are documented.T79.0 carries an Excludes2 note covering T81.719D: “complications occurring during or following medical procedures (T80-T88)”

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

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.a — Excludes1 · applies to: Excludes1

    A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. An exception to the Excludes1 definition is the circumstance when the two conditions are unrelated to each other. If it is not clear whether the two conditions involving an Excludes1 note are related or not, query the provider. For example, code F45.8, Other somatoform disorders, has an Excludes1 note for "sleep related teeth grinding (G47.63)," because "teeth grinding" is an inclusion term under F45.8. Only one of these two codes should be assigned for teeth grinding. However psychogenic dysmenorrhea is also an inclusion term under F45.8, and a patient could have both this condition and sleep related teeth grinding. In this case, the two conditions are clearly unrelated to each other, and so it would be appropriate to report F45.8 and G47.63 together.

    ICD-10-CM Official Guidelines FY2026

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2026

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

T79.0Air embolism (traumatic)T81.719DComplication of unspecified artery following a procedure, not elsewhere classified, subsequent encounter
Billing statusNon-billable header

Report instead: T79.0XXA, T79.0XXD, T79.0XXS

Billable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionAir embolism (traumatic) is a non-billable ICD-10-CM category code (T79.0).Complication of unspecified artery following a procedure, not elsewhere classified, subsequent encounter is a billable ICD-10-CM diagnosis code (T81.719D).
7th characterThe appropriate 7th character is to be added to each code from category T79The appropriate 7th character is to be added to each code from category T81
Excludes1
air embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
air embolism complicating pregnancy, childbirth and the puerperium (O88.0)
air embolism following infusion, transfusion, and therapeutic injection (T80.0)
air embolism following procedure NEC (T81.7-)
embolism complicating abortion or ectopic or molar pregnancy (O00-O07, O08.2)
embolism complicating pregnancy, childbirth and the puerperium (O88.-)
traumatic embolism (T79.0)
Excludes2
acute respiratory distress syndrome (J80)
complications occurring during or following medical procedures (T80-T88)
complications of surgical and medical care NEC (T80-T88)
newborn respiratory distress syndrome (P22.0)
embolism due to prosthetic devices, implants and grafts (T82.8-, T83.81, T84.8-, T85.81-)
embolism following infusion, transfusion and therapeutic injection (T80.0)
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)
code(s) to identify the specified condition resulting from the complication
code to identify devices involved and details of circumstances (Y62-Y82)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources