T88.53XD ICD-10-CM Code: Unintended awareness under general anesthesia during procedure, subsequent 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 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
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 T88.53XD 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 T88.53XD vs Z92.84 →
- complication following infusion, transfusion and therapeutic injection (T80.-) Compare T88.53XD vs T80 →
- complication following procedure NEC (T81.-) Compare T88.53XD vs T81 →
- complications of anesthesia in labor and delivery (O74.-) Compare T88.53XD vs O74 →
- complications of anesthesia in pregnancy (O29.-) Compare T88.53XD vs O29 →
- complications of anesthesia in puerperium (O89.-) Compare T88.53XD vs O89 →
- complications of devices, implants and grafts (T82-T85) Compare T88.53XD vs T82 →
- complications of obstetric surgery and procedure (O75.4) Compare T88.53XD vs O75.4 →
- dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1) Compare T88.53XD vs L23.3 →
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4) Compare T88.53XD 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 T88.53XD vs Z93 →
- closure of external stoma (Z43.-) Compare T88.53XD vs Z43 →
- fitting and adjustment of external prosthetic device (Z44.-) Compare T88.53XD vs Z44 →
- burns and corrosions from local applications and irradiation (T20-T32) Compare T88.53XD vs T20 →
- complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A) Compare T88.53XD 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 T88.53XD vs T36 →
- postprocedural fever (R50.82) Compare T88.53XD vs R50.82 →
- specified complications classified elsewhere, such as:
- cerebrospinal fluid leak from spinal puncture (G97.0) Compare T88.53XD vs G97.0 →
- colostomy malfunction (K94.0-) Compare T88.53XD vs K94.0 →
- disorders of fluid and electrolyte imbalance (E86-E87) Compare T88.53XD vs E86 →
- functional disturbances following cardiac surgery (I97.0-I97.1) Compare T88.53XD 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 T88.53XD vs D78 →
- ostomy complications (J95.0-, K94.-, N99.5-) Compare T88.53XD vs J95.0 →
- postgastric surgery syndromes (K91.1) Compare T88.53XD vs K91.1 →
- postlaminectomy syndrome NEC (M96.1) Compare T88.53XD vs M96.1 →
- postmastectomy lymphedema syndrome (I97.2) Compare T88.53XD vs I97.2 →
- postsurgical blind-loop syndrome (K91.2) Compare T88.53XD vs K91.2 →
- ventilator associated pneumonia (J95.851) Compare T88.53XD 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)
Change history
- FY2017 — 2016-10-01Added to the code setUnintended awareness under general anesthesia during procedure, subsequent encounterFY2017 changes
Verify Before Coding
- Billable — reportable as written.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Clinical classification (AHRQ CCSR):INJ072 — Complication of other surgical or medical care, injury, subsequent 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)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Frequently Asked Questions (FAQ) & Clinical Guidance
Does T88.53XD 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 T88.53XD in its code family, with their registry titles.
- 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
- T88.53 — Unintended awareness under general anesthesia during procedure
- T88.53XA — Unintended awareness under general anesthesia during procedure, initial 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
- T88.59XD — Other complications of anesthesia, subsequent encounter
- T88.59XS — Other complications of anesthesia, sequela