T81.81XA (Complication of inhalation therapy, initial encounter) compared with T88.0 (Infection following immunization), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“complications following immunization (T88.0-T88.1)”
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
Distinct conditions — both may be reported.
“complication following procedure NEC (T81.-)”
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
Yes, when both are documented. T81.81XA carries an Excludes2 note covering T88.0: “complications following immunization (T88.0-T88.1)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. T88.0 carries an Excludes2 note covering T81.81XA: “complication following procedure NEC (T81.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| T81.81XAComplication of inhalation therapy, initial encounter | T88.0Infection following immunization | |
|---|---|---|
| Billing status | Billable | 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 | Complication of inhalation therapy, initial encounter is a billable ICD-10-CM diagnosis code (T81.81A). | Infection following immunization is a non-billable ICD-10-CM category code (T88.0). |
| 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 T88 |
| Includes | — | Sepsis following immunization |
| 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