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T81.49XA vs T82

T81.49XA (Infection following a procedure, other surgical site, initial encounter) compared with T82 (Complications of cardiac and vascular prosthetic devices, implants and grafts), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Relationship

Informational

Excludes2 relationship

T81.49XA
Infection following a procedure, other surgical site, initial encounter
↔
T82
Complications of cardiac and vascular prosthetic devices, implants and grafts

Distinct conditions — both may be reported.

“complication of prosthetic devices, implants and grafts (T82-T85)”

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: CMS ICD-10-CM tabular instructional notes

Can these codes be reported together?

Yes, when both are documented. T81.49XA carries an Excludes2 note covering T82: “complication of prosthetic devices, implants and grafts (T82-T85)”

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

Side by side

T81.49XAInfection following a procedure, other surgical site, initial encounterT82Complications of cardiac and vascular prosthetic devices, implants and grafts
Billing statusBillableNon-billable header

Report instead: T82.01XA, T82.01XD, T82.01XS, T82.02XA, T82.02XD

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)
DefinitionInfection following a procedure, other surgical site, initial encounter is a billable ICD-10-CM diagnosis code (T81.49A).Complications of cardiac and vascular prosthetic devices, implants and grafts is a non-billable ICD-10-CM category code (T82).
7th characterThe appropriate 7th character is to be added to each code from category T81The appropriate 7th character is to be added to each code from category T82
Use additional code
code to identify infection
code (R65.2-) to identify severe sepsis, if applicable
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
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)
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources