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T80.919 ICD-10-CM Code: Hemolytic transfusion reaction, unspecified incompatibility, unspecified as acute or delayed

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Complications of surgical and medical care, not elsewhere classified (T80-T88)

T80.919

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Hemolytic transfusion reaction, unspecified incompatibility, unspecified as acute or delayed

Hemolytic transfusion reaction, unspecified incompatibility, unspecified as acute or delayed

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
T80.9Unspecified complication following infusion, transfusion and therapeutic injection
T80.91Hemolytic transfusion reaction, unspecified incompatibility
T80.919Hemolytic transfusion reaction, unspecified incompatibility, unspecified as acute or delayed

Inclusion Terms

Official
  • Hemolytic transfusion reaction NOS

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for T80.919 in this effective period.

Related Child Codes

Official
T80.919AHemolytic transfusion reaction, unspecified incompatibility, unspecified as acute or delayed, initial encounter
T80.919DHemolytic transfusion reaction, unspecified incompatibility, unspecified as acute or delayed, subsequent encounter
T80.919SHemolytic transfusion reaction, unspecified incompatibility, unspecified as acute or delayed, sequela

Includes

Official

ICD-10-CM does not list Includes notes for T80.919 in this effective period.

Excludes 1

Official
  • ABO incompatibility with hemolytic transfusion reaction (T80.31-)
  • Non-ABO incompatibility with hemolytic transfusion reaction (T80.A1-)
  • Rh incompatibility with hemolytic transfusion reaction (T80.41-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for T80.919 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for T80.919 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for T80.919 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

T80.919 is the ICD-10-CM diagnosis code for hemolytic transfusion reaction, unspecified incompatibility, unspecified as acute or delayed. T80.919 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering complications of surgical and medical care, not elsewhere classified (t80-t88).

Header codes like T80.919 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at T80.919's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for T80.919 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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