T80.51XA ICD-10-CM Code: Anaphylactic reaction due to administration of blood and blood products, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 791 — PREMATURITY WITH MAJOR PROBLEMS (MDC 15)
- MS-DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)
- MS-DRG 915 — ALLERGIC REACTIONS WITH MCC (MDC 21)
- MS-DRG 916 — ALLERGIC REACTIONS WITHOUT 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.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T80.51XA in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- complications following perfusion
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- ABO incompatibility reaction due to transfusion of blood or blood products (T80.3-) Compare T80.51XA vs T80.3 →
- allergic reaction or shock NOS (T78.2) Compare T80.51XA vs T78.2 →
- anaphylactic reaction or shock NOS (T78.2) Compare T80.51XA vs T78.2 →
- anaphylactic reaction or shock due to adverse effect of correct medicinal substance properly administered (T88.6) Compare T80.51XA vs T88.6 →
- other serum reaction (T80.6-) Compare T80.51XA vs T80.6 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- bone marrow transplant rejection (T86.01) Compare T80.51XA vs T86.01 →
- febrile nonhemolytic transfusion reaction (R50.84) Compare T80.51XA vs R50.84 →
- fluid overload due to transfusion (E87.71) Compare T80.51XA vs E87.71 →
- posttransfusion purpura (D69.51) Compare T80.51XA vs D69.51 →
- transfusion associated circulatory overload (TACO) (E87.71) Compare T80.51XA vs E87.71 →
- transfusion (red blood cell) associated hemochromatosis (E83.111) Compare T80.51XA vs E83.111 →
- transfusion related acute lung injury (TRALI) (J95.84) Compare T80.51XA vs J95.84 →
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T80.51XA vs Z93 →
- closure of external stoma (Z43.-) Compare T80.51XA vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T80.51XA vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T80.51XA vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T80.51XA vs O00 →
- mechanical complication of respirator ventilator
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6) Compare T80.51XA vs T36 →
- postprocedural fever (R50.82) Compare T80.51XA vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T80.51XA vs G97.0 →
- colostomy malfunction (K94.0-) Compare T80.51XA vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T80.51XA vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T80.51XA vs I97.0 →
- 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.-) Compare T80.51XA vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T80.51XA vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T80.51XA vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T80.51XA vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T80.51XA vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T80.51XA vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T80.51XA vs J95.851 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
- Use additional code(s) to identify the specified condition resulting from the complication
- Use additional code to identify devices involved and details of circumstances (Y62-Y82)
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Billable — reportable as written.
- 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.
Contextual Map
Every relationship of T80.51XA 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.
Hierarchy
- T80.51 — Anaphylactic reaction due to administration of blood and blood products [Hierarchy]
Referenced by Excludes1 notes
- R57 — Shock, not elsewhere classified [Excludes1](via T80.5.-): “anaphylactic shock due to serum (T80.5-)”
- T78.2 — Anaphylactic shock, unspecified [Excludes1](via T80.5.-): “anaphylactic reaction or shock due to serum (T80.5-)”
- T79.4 — Traumatic shock [Excludes1](via T80.5.-): “anaphylactic shock due to serum (T80.5-)”
- T81.1 — Postprocedural shock [Excludes1](via T80.5.-): “anaphylactic shock due to serum (T80.5-)”
- T88.6 — Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered [Excludes1](via T80.5.-): “anaphylactic reaction due to serum (T80.5-)”
- T88.7 — Unspecified adverse effect of drug or medicament [Excludes1](via T80.-): “specified adverse effects of drugs and medicaments (A00-R94 and T80-T88.6, T88.8)”
Referenced by Excludes2 notes
- T45.8 — Poisoning by, adverse effect of and underdosing of other primarily systemic and hematological agents [Excludes2](via T80.-): “transfusion reactions (T80.-)”
- T78 — Adverse effects, not elsewhere classified [Excludes2](via T80.-): “complications of surgical and medical care NEC (T80-T88)”
- T79 — Certain early complications of trauma, not elsewhere classified [Excludes2](via T80.-): “complications occurring during or following medical procedures (T80-T88)”
- T81 — Complications of procedures, not elsewhere classified [Excludes2](via T80.-): “complications following infusion, transfusion and therapeutic injection (T80.-)”
- T88 — Other complications of surgical and medical care, not elsewhere classified [Excludes2](via T80.-): “complication following infusion, transfusion and therapeutic injection (T80.-)”
- T88.1 — Other complications following immunization, not elsewhere classified [Excludes2](via T80.5.-): “anaphylactic shock due to serum (T80.5-)”
Clinical classification (CCSR)
- INJ037 — Complication of other surgical or medical care, injury, initial encounter [CCSR]
Potential MS-DRG
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”
- DRG 791 — PREMATURITY WITH MAJOR PROBLEMS [MS-DRG]: “PREMATURITY WITH MAJOR PROBLEMS (MDC 15)”
- DRG 793 — FULL TERM NEONATE WITH MAJOR PROBLEMS [MS-DRG]: “FULL TERM NEONATE WITH MAJOR PROBLEMS (MDC 15)”
- DRG 915 — ALLERGIC REACTIONS WITH MCC [MS-DRG]: “ALLERGIC REACTIONS WITH MCC (MDC 21)”
- DRG 916 — ALLERGIC REACTIONS WITHOUT MCC [MS-DRG]: “ALLERGIC REACTIONS WITHOUT MCC (MDC 21)”
Nearest codes (40)
- T80 — Complications following infusion, transfusion and therapeutic injection [Sibling]
- T80.40XS — Rh incompatibility reaction due to transfusion of blood or blood products, unspecified, sequela [Sibling]
- T80.41 — Rh incompatibility with hemolytic transfusion reaction [Sibling]
- T80.410 — Rh incompatibility with acute hemolytic transfusion reaction [Sibling]
- T80.410A — Rh incompatibility with acute hemolytic transfusion reaction, initial encounter [Sibling]
- T80.410D — Rh incompatibility with acute hemolytic transfusion reaction, subsequent encounter [Sibling]
- T80.410S — Rh incompatibility with acute hemolytic transfusion reaction, sequela [Sibling]
- T80.411 — Rh incompatibility with delayed hemolytic transfusion reaction [Sibling]
- and 32 more
Referenced by Other Codes
Clinical classification (AHRQ CCSR):INJ037 — Complication of other surgical or medical care, injury, initial encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
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 6 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 4 MS-DRGs: DRG 791 (MDC 15), DRG 793 (MDC 15), DRG 915 (MDC 21), DRG 916 (MDC 21).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name T80.51XA or its code family.
6 Excludes1 notes across 2 chapters: R57 (via T80.5.-), T78.2 (via T80.5.-), T79.4 (via T80.5.-), T81.1 (via T80.5.-), T88.6 (via T80.5.-), T88.7 (via T80.-).
6 Excludes2 notes: T45.8 (via T80.-), T78 (via T80.-), T79 (via T80.-), T81 (via T80.-), T88 (via T80.-), T88.1 (via T80.5.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T80.51XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T80.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T80.51XA in its code family, with their registry titles.
- T80.49XA — Other Rh incompatibility reaction due to transfusion of blood or blood products, initial encounter
- T80.49XD — Other Rh incompatibility reaction due to transfusion of blood or blood products, subsequent encounter
- T80.49XS — Other Rh incompatibility reaction due to transfusion of blood or blood products, sequela
- T80.5 — Anaphylactic reaction due to serum
- T80.51 — Anaphylactic reaction due to administration of blood and blood products
- T80.51XD — Anaphylactic reaction due to administration of blood and blood products, subsequent encounter
- T80.51XS — Anaphylactic reaction due to administration of blood and blood products, sequela
- T80.52 — Anaphylactic reaction due to vaccination
- T80.52XA — Anaphylactic reaction due to vaccination, initial encounter
- T80.52XD — Anaphylactic reaction due to vaccination, subsequent encounter