Y81.0 ICD-10-CM Code: Diagnostic and monitoring general- and plastic-surgery devices associated with adverse incidents

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Y81.0 in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on Y81.0 itself; “inherited from” names the category or block whose note applies here.

Coder workflow for Y81.0

MedCoder structured workflow — derived from this code’s own official record

Before you code Y81.0

1. Y81.0’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

   Guide: Combination codes →

2. An external cause code is reported in addition to the code for the injury or condition, never as the principal or first-listed diagnosis. Confirm the cause, intent, place of occurrence, activity and status where the record documents them, and assign the 7th character that matches the injury code. External cause coding guidelines (Guidelines I.C.20.a).

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).

The associated condition or complication

Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).

Official instructions as workflow

• Excludes2 — not part of Y81.0(3 notes)

  Coding workflow: The conditions named in this note are not included in Y81.0. 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

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

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.

Indexed As (4)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Circumstance phrases from the official ICD-10-CM External Cause of Injuries Index that map to this code.

• Incident, adverse, device, general, surgical, diagnostic
• Incident, adverse, device, general, surgical, monitoring
• Incident, adverse, device, plastic surgical, diagnostic
• Incident, adverse, device, plastic surgical, monitoring

Don’t confuse Y81.0 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of Y81.0 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

• Y83— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of later complications following use of medical devices without breakdown or malfunctioning of device adds Y83; it is not part of this code and both may be reported when both are documented.

  Full comparison: Y81.0 vs Y83 →

• Y84— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of later complications following use of medical devices without breakdown or malfunctioning of device adds Y84; it is not part of this code and both may be reported when both are documented.

  Full comparison: Y81.0 vs Y84 →

• Y62— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of misadventure to patients during surgical and medical care, classifiable to adds Y62; it is not part of this code and both may be reported when both are documented.

  Full comparison: Y81.0 vs Y62 →

• Y69— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of misadventure to patients during surgical and medical care, classifiable to adds Y69; it is not part of this code and both may be reported when both are documented.

  Full comparison: Y81.0 vs Y69 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Verify Before Coding

• Principal-diagnosis restriction. External cause of morbidity codes (V, W, X and Y) describe the circumstance that caused an injury, not the condition treated. The Medicare Code Editor rejects them as a principal diagnosis; sequence the injury or condition first and report this code as secondary.

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 Y81.0 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 10 Excludes2 notes: Y62 — Failure of sterile precautions during surgical and medical care (via Y81.-), Y62-Y69 — Misadventures to patients during surgical and medical care (Y62-Y69) (via Y81.-), Y63 — Failure in dosage during surgical and medical care (via Y81.-), Y64 — Contaminated medical or biological substances (via Y81.-), Y65 — Other misadventures during surgical and medical care (via Y81.-), Y66 — Nonadministration of surgical and medical care (via Y81.-), Y69 — Unspecified misadventure during surgical and medical care (via Y81.-), Y83 — Surgical operation and other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure (via Y81.-), Y83-Y84 — Surgical and other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure (Y83-Y84) (via Y81.-), Y84 — Other medical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure (via Y81.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 10 Use Additional Code instructions: T80 — Complications following infusion, transfusion and therapeutic injection (via Y81.-), T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) (via Y81.-), T81 — Complications of procedures, not elsewhere classified (via Y81.-), T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts (via Y81.-), T83 — Complications of genitourinary prosthetic devices, implants and grafts (via Y81.-), T84 — Complications of internal orthopedic prosthetic devices, implants and grafts (via Y81.-), T85 — Complications of other internal prosthetic devices, implants and grafts (via Y81.-), T86 — Complications of transplanted organs and tissue (via Y81.-), T87 — Complications peculiar to reattachment and amputation (via Y81.-), T88 — Other complications of surgical and medical care, not elsewhere classified (via Y81.-).

These codes instruct coders to additionally report this code when it applies.

Clinical classification (AHRQ CCSR):EXT025 — External cause codes: complications of medical and surgical care, initial encounter.

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 category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (External cause codes: complications of medical and surgical care, initial encounter).

Y79.0 — Diagnostic and monitoring orthopedic devices associated with adverse incidents, Y79.1 — Therapeutic (nonsurgical) and rehabilitative orthopedic devices associated with adverse incidents, Y79.2 — Prosthetic and other implants, materials and accessory orthopedic devices associated with adverse incidents, Y79.3 — Surgical instruments, materials and orthopedic devices (including sutures) associated with adverse incidents, Y79.8 — Miscellaneous orthopedic devices associated with adverse incidents, not elsewhere classified, Y80.0 — Diagnostic and monitoring physical medicine devices associated with adverse incidents, Y80.1 — Therapeutic (nonsurgical) and rehabilitative physical medicine devices associated with adverse incidents, Y80.2 — Prosthetic and other implants, materials and accessory physical medicine devices associated with adverse incidents, Y80.3 — Surgical instruments, materials and physical medicine devices (including sutures) associated with adverse incidents, Y80.8 — Miscellaneous physical medicine devices associated with adverse incidents, not elsewhere classified, Y81.1 — Therapeutic (nonsurgical) and rehabilitative general- and plastic-surgery devices associated with adverse incidents, Y81.2 — Prosthetic and other implants, materials and accessory general- and plastic-surgery devices associated with adverse incidents, Y81.3 — Surgical instruments, materials and general- and plastic-surgery devices (including sutures) associated with adverse incidents, Y81.8 — Miscellaneous general- and plastic-surgery devices associated with adverse incidents, not elsewhere classified, Y82.8 — Other medical devices associated with adverse incidents, Y82.9 — Unspecified medical devices associated with adverse incidents, Y83.0 — Surgical operation with transplant of whole organ as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure, Y83.1 — Surgical operation with implant of artificial internal device as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure, Y83.2 — Surgical operation with anastomosis, bypass or graft as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure, Y83.3 — Surgical operation with formation of external stoma as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure, +96 more

Contextual Map

Every relationship of Y81.0 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 Y81.0 with these 16 related codes in Claim Check

Hierarchy

• V00-Y99 — Chapter 20: External Causes of Morbidity (V00-Y99) (V00-Y99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Y62-Y84 — Complications of medical and surgical care[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Referenced by Excludes2 notes (10)

• Y62 — Failure of sterile precautions during surgical and medical care[Excludes2](via Y81.-): “breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use) (Y70-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• Y62-Y69 — Misadventures to patients during surgical and medical care (Y62-Y69)[Excludes2](via Y81.-): “breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use) (Y70-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• Y63 — Failure in dosage during surgical and medical care[Excludes2](via Y81.-): “breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use) (Y70-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• Y64 — Contaminated medical or biological substances[Excludes2](via Y81.-): “breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use) (Y70-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• Y65 — Other misadventures during surgical and medical care[Excludes2](via Y81.-): “breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use) (Y70-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• Y66 — Nonadministration of surgical and medical care[Excludes2](via Y81.-): “breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use) (Y70-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• Y69 — Unspecified misadventure during surgical and medical care[Excludes2](via Y81.-): “breakdown or malfunctioning of medical device (during procedure) (after implantation) (ongoing use) (Y70-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• Y83 — Surgical operation and other surgical procedures as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure[Excludes2](via Y81.-): “breakdown or malfunctioning of medical device (after implantation) (during procedure) (ongoing use) (Y70-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• and 2 more

Referenced by Use Additional Code instructions (10)

• T80 — Complications following infusion, transfusion and therapeutic injection[Use Additional Code](via Y81.-): “code to identify devices involved and details of circumstances (Y62-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88)[Use Additional Code](via Y81.-): “code to identify devices involved and details of circumstances (Y62-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• T81 — Complications of procedures, not elsewhere classified[Use Additional Code](via Y81.-): “code to identify devices involved and details of circumstances (Y62-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts[Use Additional Code](via Y81.-): “code to identify devices involved and details of circumstances (Y62-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• T83 — Complications of genitourinary prosthetic devices, implants and grafts[Use Additional Code](via Y81.-): “code to identify devices involved and details of circumstances (Y62-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• T84 — Complications of internal orthopedic prosthetic devices, implants and grafts[Use Additional Code](via Y81.-): “code to identify devices involved and details of circumstances (Y62-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• T85 — Complications of other internal prosthetic devices, implants and grafts[Use Additional Code](via Y81.-): “code to identify devices involved and details of circumstances (Y62-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• T86 — Complications of transplanted organs and tissue[Use Additional Code](via Y81.-): “code to identify devices involved and details of circumstances (Y62-Y82)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
• and 2 more

Clinical classification (CCSR)

• EXT025 — External cause codes: complications of medical and surgical care, initial encounter[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)

External cause index

• Incident, adverse, device, general, surgical, diagnostic[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026
• Incident, adverse, device, general, surgical, monitoring[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026
• Incident, adverse, device, plastic surgical, diagnostic[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026
• Incident, adverse, device, plastic surgical, monitoring[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2026

Nearest codes

• Y81 — General- and plastic-surgery devices associated with adverse incidents[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Y81.1 — Therapeutic (nonsurgical) and rehabilitative general- and plastic-surgery devices associated with adverse incidents[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Y81.2 — Prosthetic and other implants, materials and accessory general- and plastic-surgery devices associated with adverse incidents[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Y81.3 — Surgical instruments, materials and general- and plastic-surgery devices (including sutures) associated with adverse incidents[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• Y81.8 — Miscellaneous general- and plastic-surgery devices associated with adverse incidents, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Change history

• FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

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

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

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Y81.0 in its code family, with their registry titles.

• Y81 — General- and plastic-surgery devices associated with adverse incidents
• Y81.1 — Therapeutic (nonsurgical) and rehabilitative general- and plastic-surgery devices associated with adverse incidents
• Y81.2 — Prosthetic and other implants, materials and accessory general- and plastic-surgery devices associated with adverse incidents
• Y81.3 — Surgical instruments, materials and general- and plastic-surgery devices (including sutures) associated with adverse incidents
• Y81.8 — Miscellaneous general- and plastic-surgery devices associated with adverse incidents, not elsewhere classified

View all codes in the Y81 family