T88.53 ICD-10-CM Code: Unintended awareness under general anesthesia during procedure
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for T88.53 in the official ICD-10-CM tabular list.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- personal history of unintended awareness under general anesthesia (Z92.84) Compare T88.53 vs Z92.84 →
- complication following infusion, transfusion and therapeutic injection (T80.-) Compare T88.53 vs T80 →
- complication following procedure NEC (T81.-) Compare T88.53 vs T81 →
- complications of anesthesia in labor and delivery (O74.-) Compare T88.53 vs O74 →
- complications of anesthesia in pregnancy (O29.-) Compare T88.53 vs O29 →
- complications of anesthesia in puerperium (O89.-) Compare T88.53 vs O89 →
- complications of devices, implants and grafts (T82-T85) Compare T88.53 vs T82 →
- complications of obstetric surgery and procedure (O75.4) Compare T88.53 vs O75.4 →
- dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1) Compare T88.53 vs L23.3 →
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4) Compare T88.53 vs T36 →
- specified complications classified elsewhere
- any encounters with medical care for postprocedural conditions in which no complications are present, such as:
- artificial opening status (Z93.-) Compare T88.53 vs Z93 →
- closure of external stoma (Z43.-) Compare T88.53 vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T88.53 vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T88.53 vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T88.53 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 T88.53 vs T36 →
- postprocedural fever (R50.82) Compare T88.53 vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T88.53 vs G97.0 →
- colostomy malfunction (K94.0-) Compare T88.53 vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T88.53 vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T88.53 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 T88.53 vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T88.53 vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T88.53 vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T88.53 vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T88.53 vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T88.53 vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T88.53 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 (T41.- with fifth or sixth character 5)
- 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)
Indexed Clinical Terms (3)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Anesthesia, anesthetic, complication or reaction NEC, unintended awareness under general anesthesia during procedure
- Complication (s) (from) (of), anesthesia, anesthetic, general, unintended awareness during procedure
- Complication (s) (from) (of), anesthesia, anesthetic, unintended awareness under general anesthesia during procedure
Frequently Compared Codes
The official Excludes notes on T88.53 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
- FY2017 — 2016-10-01Added to the code setUnintended awareness under general anesthesia during procedureFY2017 changes
Verify Before Coding
- Not billable as written — a more specific code is required: T88.53XA, T88.53XD, T88.53XS.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category T88" Options: T88.53XA, T88.53XD, T88.53XS
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Official ICD-10-CM tabular notes on other codes that name T88.53 or its code family.
1 Excludes2 notes: Z92.84.
Contextual Map
Every relationship of T88.53 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
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
Excludes2
- Z92.84 — Personal history of unintended awareness under general anesthesia [Excludes2]: “personal history of unintended awareness under general anesthesia (Z92.84)” · check together
Referenced by Excludes2 notes
- Z92.84 — Personal history of unintended awareness under general anesthesia [Excludes2]: “unintended awareness under general anesthesia during procedure (T88.53)” · check together
Index entries
- Anesthesia, anesthetic, complication or reaction NEC, unintended awareness under general anesthesia during procedure[Index term]
- Complication (s) (from) (of), anesthesia, anesthetic, general, unintended awareness during procedure[Index term]
- Complication (s) (from) (of), anesthesia, anesthetic, unintended awareness under general anesthesia during procedure[Index term]
Nearest codes (40)
- T88 — Other complications of surgical and medical care, not elsewhere classified [Sibling]
- T88.2XXA — Shock due to anesthesia, initial encounter [Sibling]
- T88.2XXD — Shock due to anesthesia, subsequent encounter [Sibling]
- T88.2XXS — Shock due to anesthesia, sequela [Sibling]
- T88.3 — Malignant hyperthermia due to anesthesia [Sibling]
- T88.3XXA — Malignant hyperthermia due to anesthesia, initial encounter [Sibling]
- T88.3XXD — Malignant hyperthermia due to anesthesia, subsequent encounter [Sibling]
- T88.3XXS — Malignant hyperthermia due to anesthesia, sequela [Sibling]
- and 32 more
Change history
- FY2017 — Added to the code set [Change history]
Frequently Asked Questions (FAQ) & Clinical Guidance
Can T88.53 be billed directly?
No. T88.53 (Unintended awareness under general anesthesia during procedure) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does T88.53 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category T88.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to T88.53 in its code family, with their registry titles.
- T88.51XS — Hypothermia following anesthesia, sequela
- T88.52 — Failed moderate sedation during procedure
- T88.52XA — Failed moderate sedation during procedure, initial encounter
- T88.52XD — Failed moderate sedation during procedure, subsequent encounter
- T88.52XS — Failed moderate sedation during procedure, sequela
- T88.53XA — Unintended awareness under general anesthesia during procedure, initial encounter
- T88.53XD — Unintended awareness under general anesthesia during procedure, subsequent encounter
- T88.53XS — Unintended awareness under general anesthesia during procedure, sequela
- T88.59 — Other complications of anesthesia
- T88.59XA — Other complications of anesthesia, initial encounter