E89.821 ICD-10-CM Code: Postprocedural hematoma of an endocrine system organ or structure following other procedure
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 Excludes2
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 919 — COMPLICATIONS OF TREATMENT WITH MCC (MDC 21)
- MS-DRG 920 — COMPLICATIONS OF TREATMENT WITH CC (MDC 21)
- MS-DRG 921 — COMPLICATIONS OF TREATMENT WITHOUT CC/MCC (MDC 21)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for E89.821 in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on E89.821 itself; “inherited from” names the category or block whose note applies here.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- intraoperative complications of endocrine system organ or structure (E36.0-, E36.1-, E36.8) Compare E89.821 vs E36.0 →
Source: inherited from E89
Coder workflow for E89.821
MedCoder structured workflow — derived from this code’s own official record
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes2 — not part of E89.821(1 note)
Coding workflow: The conditions named in this note are not included in E89.821. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
See the official tabular notes · Guidelines I.A.12.b
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (1)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Verify Before Coding
- CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name E89.821 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 12 Excludes2 notes across 3 chapters: E36 — Intraoperative complications of endocrine system (via E89.-), T80 — Complications following infusion, transfusion and therapeutic injection (via E89.-), T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) (via E89.-), T81 — Complications of procedures, not elsewhere classified (via E89.-), T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts (via E89.-), T83 — Complications of genitourinary prosthetic devices, implants and grafts (via E89.-), T84 — Complications of internal orthopedic prosthetic devices, implants and grafts (via E89.-), T85 — Complications of other internal prosthetic devices, implants and grafts (via E89.-), T86 — Complications of transplanted organs and tissue (via E89.-), T87 — Complications peculiar to reattachment and amputation (via E89.-), T88 — Other complications of surgical and medical care, not elsewhere classified (via E89.-), Z90 — Acquired absence of organs, not elsewhere classified (via E89.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 24 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 3 MS-DRGs: DRG 919 (MDC 21), DRG 920 (MDC 21), DRG 921 (MDC 21).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):END014 — Postprocedural or postoperative endocrine or metabolic complication (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical process (MS-DRG)
Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.
E36.8 — Other intraoperative complications of endocrine system, E89.810 — Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedure, E89.811 — Postprocedural hemorrhage of an endocrine system organ or structure following other procedure, E89.820 — Postprocedural hematoma of an endocrine system organ or structure following an endocrine system procedure, E89.822 — Postprocedural seroma of an endocrine system organ or structure following an endocrine system procedure, E89.823 — Postprocedural seroma of an endocrine system organ or structure following other procedure, E89.89 — Other postprocedural endocrine and metabolic complications and disorders, H95.811 — Postprocedural stenosis of right external ear canal, H95.812 — Postprocedural stenosis of left external ear canal, H95.813 — Postprocedural stenosis of external ear canal, bilateral, H95.819 — Postprocedural stenosis of unspecified external ear canal, H95.88 — Other intraoperative complications and disorders of the ear and mastoid process, not elsewhere classified, H95.89 — Other postprocedural complications and disorders of the ear and mastoid process, not elsewhere classified, I97.3 — Postprocedural hypertension, M96.89 — Other intraoperative and postprocedural complications and disorders of the musculoskeletal system, N98.1 — Hyperstimulation of ovaries, N98.2 — Complications of attempted introduction of fertilized ovum following in vitro fertilization, N98.3 — Complications of attempted introduction of embryo in embryo transfer, N98.8 — Other complications associated with artificial fertilization, N98.9 — Complication associated with artificial fertilization, unspecified, +3 more
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Postprocedural or postoperative endocrine or metabolic complication).
E36.01 — Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating an endocrine system procedure, E36.02 — Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating other procedure, E36.11 — Accidental puncture and laceration of an endocrine system organ or structure during an endocrine system procedure, E36.12 — Accidental puncture and laceration of an endocrine system organ or structure during other procedure, E36.8 — Other intraoperative complications of endocrine system, E89.0 — Postprocedural hypothyroidism, E89.1 — Postprocedural hypoinsulinemia, E89.2 — Postprocedural hypoparathyroidism, E89.3 — Postprocedural hypopituitarism, E89.40 — Asymptomatic postprocedural ovarian failure, E89.41 — Symptomatic postprocedural ovarian failure, E89.5 — Postprocedural testicular hypofunction, E89.6 — Postprocedural adrenocortical (-medullary) hypofunction, E89.810 — Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedure, E89.811 — Postprocedural hemorrhage of an endocrine system organ or structure following other procedure, E89.820 — Postprocedural hematoma of an endocrine system organ or structure following an endocrine system procedure, E89.822 — Postprocedural seroma of an endocrine system organ or structure following an endocrine system procedure, E89.823 — Postprocedural seroma of an endocrine system organ or structure following other procedure, E89.89 — Other postprocedural endocrine and metabolic complications and disorders
Lab tests where this diagnosis supports Medicare coverage (NCD)
Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.
Partial Thromboplastin Time (PTT) Test, Prothrombin Time Test and INR (PT/INR)
Contextual Map
Every relationship of E89.821 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run E89.821 with these 8 related codes in Claim Check
Hierarchy
- E00-E89 — Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89) (E00-E89)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E89-E89 — Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes2 notes (12)
- E36 — Intraoperative complications of endocrine system[Excludes2](via E89.-): “postprocedural endocrine and metabolic complications and disorders, not elsewhere classified (E89.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T80 — Complications following infusion, transfusion and therapeutic injection[Excludes2](via E89.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88)[Excludes2](via E89.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T81 — Complications of procedures, not elsewhere classified[Excludes2](via E89.-): “intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts[Excludes2](via E89.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T83 — Complications of genitourinary prosthetic devices, implants and grafts[Excludes2](via E89.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T84 — Complications of internal orthopedic prosthetic devices, implants and grafts[Excludes2](via E89.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T85 — Complications of other internal prosthetic devices, implants and grafts[Excludes2](via E89.-): “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 4 more
Clinical classification (CCSR)
- END014 — Postprocedural or postoperative endocrine or metabolic complication[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
- DRG 919 — COMPLICATIONS OF TREATMENT WITH MCC[MS-DRG]: “COMPLICATIONS OF TREATMENT WITH MCC (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 920 — COMPLICATIONS OF TREATMENT WITH CC[MS-DRG]: “COMPLICATIONS OF TREATMENT WITH CC (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 921 — COMPLICATIONS OF TREATMENT WITHOUT CC/MCC[MS-DRG]: “COMPLICATIONS OF TREATMENT WITHOUT CC/MCC (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 32,029 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries
- Complication (s) (from) (of), postprocedural, hematoma (of), endocrine system, following other procedure[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (22)
- E89 — Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E89.0 — Postprocedural hypothyroidism[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E89.1 — Postprocedural hypoinsulinemia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E89.2 — Postprocedural hypoparathyroidism[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E89.3 — Postprocedural hypopituitarism[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E89.4 — Postprocedural ovarian failure[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E89.40 — Asymptomatic postprocedural ovarian failure[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E89.41 — Symptomatic postprocedural ovarian failure[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 14 more
Change history
- FY2017 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2017
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- FY2017 — October 1, 2016Added to the code setPostprocedural hematoma of an endocrine system organ or structure following other procedureFY2017 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to E89.821 in its code family, with their registry titles.
- E89.81 — Postprocedural hemorrhage of an endocrine system organ or structure following a procedure
- E89.810 — Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedure
- E89.811 — Postprocedural hemorrhage of an endocrine system organ or structure following other procedure
- E89.82 — Postprocedural hematoma and seroma of an endocrine system organ or structure
- E89.820 — Postprocedural hematoma of an endocrine system organ or structure following an endocrine system procedure
- E89.822 — Postprocedural seroma of an endocrine system organ or structure following an endocrine system procedure
- E89.823 — Postprocedural seroma of an endocrine system organ or structure following other procedure
- E89.83 — Postprocedural hypoglycemia following a procedure
- E89.830 — Post bariatric hypoglycemia
- E89.838 — Other postprocedural hypoglycemia