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T81.502S ICD-10-CM Code: Unspecified complication of foreign body accidentally left in body following kidney dialysis, sequela

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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)

T81.502S

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Unspecified complication of foreign body accidentally left in body following kidney dialysis, sequela

Unspecified complication of foreign body accidentally left in body following kidney dialysis, sequela

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

HCC 134

RAF 0.452

ACA/HHS

0

0

RAF 0

ESRD/PACE

HCC 134

RAF 0.0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
T81.50Unspecified complication of foreign body accidentally left in body following procedure
T81.502Unspecified complication of foreign body accidentally left in body following kidney dialysis
T81.502SUnspecified complication of foreign body accidentally left in body following kidney dialysis, sequela

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for T81.502S in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for T81.502S in this effective period.

Related Child Codes

Official
T81.502AUnspecified complication of foreign body accidentally left in body following kidney dialysis, initial encounter
T81.502DUnspecified complication of foreign body accidentally left in body following kidney dialysis, subsequent encounter

Includes

Official

ICD-10-CM does not list Includes notes for T81.502S in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for T81.502S in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for T81.502S in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for T81.502S in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for T81.502S 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.

Is T81.502S an HCC code?

Yes. T81.502S maps to Dialysis Status under the V24 model but is not retained in V28.

HCC Category Mapping

V24HCC 134, Dialysis Status
0.452
ESRDHCC 134, Dialysis Status
0.000

RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.

MEAT Criteria for T81.502S

For T81.502Sto count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.

  • MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
  • EEvaluate: test results, medication response, or physical findings reviewed by the provider
  • AAssess: explicit mention in the assessment or plan with acknowledgment of status
  • TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed T81.502S during that encounter, not just copy-forwarded from a problem list.

What This Code Means

T81.502S is the ICD-10-CM diagnosis code for unspecified complication of foreign body accidentally left in body following kidney dialysis, sequela. T81.502S 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).

Under the older CMS-HCC V24 model, T81.502S maps to Dialysis Status (HCC 134) with a community, non-dual, aged base RAF weight of 0.452. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.

Coders should report T81.502S only when the provider documentation supports the specific condition described, since more specific codes within the same hierarchy can capture additional clinical detail and may carry a higher RAF weight. Because T81.502S maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for T81.502S 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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