T80 vs T81
T80 (Complications following infusion, transfusion and therapeutic injection) compared with T81 (Complications of procedures, not elsewhere classified), 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. T81 carries an Excludes2 note covering T80: “complications following infusion, transfusion and therapeutic injection (T80.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| T80Complications following infusion, transfusion and therapeutic injection | T81Complications of procedures, not elsewhere classified | |
|---|---|---|
| Billing status | Non-billable header Report instead: T80.0XXA, T80.0XXD, T80.0XXS, T80.1XXA, T80.1XXD | Non-billable header Report instead: T81.10XA, T81.10XD, T81.10XS, T81.11XA, T81.11XD |
| Classification | S00-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) |
| Definition | Complications following infusion, transfusion and therapeutic injection is a non-billable ICD-10-CM category code (T80). | Complications of procedures, not elsewhere classified is a non-billable ICD-10-CM category code (T81). |
| 7th character | The appropriate 7th character is to be added to each code from category T80 | The appropriate 7th character is to be added to each code from category T81 |
| 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) | 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