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T80.5 vs T81.1

T80.5 (Anaphylactic reaction due to serum) compared with T81.1 (Postprocedural shock), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. T81.1 carries an Excludes1 note covering T80.5: “anaphylactic shock due to serum (T80.5-)”

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

Yes, when both are documented. T81.1 carries an Excludes2 note covering T80.5: “complications following infusion, transfusion and therapeutic injection (T80.-)”

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

Side by side

T80.5Anaphylactic reaction due to serumT81.1Postprocedural shock
Billing statusNon-billable headerNon-billable header
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)
DefinitionAnaphylactic reaction due to serum is a non-billable ICD-10-CM category code (T80.5).Postprocedural shock is a non-billable ICD-10-CM category code (T81.1).
7th characterThe appropriate 7th character is to be added to each code from category T80The appropriate 7th character is to be added to each code from category T81
Includes
complications following perfusion
Allergic shock due to serum
Anaphylactic shock due to serum
Anaphylactoid reaction due to serum
Shock during or resulting from a procedure, not elsewhere classified
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