T81.3 vs T85.622
T81.3 (Disruption of wound, not elsewhere classified) compared with T85.622 (Displacement of permanent sutures), 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. T81.3 carries an Excludes1 note covering T85.622: “displacement of permanent sutures (T85.622)”
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. T81.3 carries an Excludes2 note covering T85.622: “complication of prosthetic devices, implants and grafts (T82-T85)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| T81.3Disruption of wound, not elsewhere classified | T85.622Displacement of permanent sutures | |
|---|---|---|
| Billing status | Non-billable header Report instead: T81.30XA, T81.30XD, T81.30XS, T81.31XA, T81.31XD | Non-billable header |
| 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 | Disruption of wound, not elsewhere classified is a non-billable ICD-10-CM category code (T81.3). | Displacement of permanent sutures is a non-billable ICD-10-CM category code (T85.622). |
| 7th character | The appropriate 7th character is to be added to each code from category T81 | The appropriate 7th character is to be added to each code from category T85 |
| Includes | Disruption of any suture materials or other closure methods | — |
| 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