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T88 ICD-10-CM Code: Other complications of surgical and medical care, not elsewhere classified

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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)

T88

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

Other complications of surgical and medical care, not elsewhere classified

Other complications of surgical and medical care, not elsewhere classified

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
T8Complications of surgical and medical care, not elsewhere classified (T80-T88)
T88Other complications of surgical and medical care, not elsewhere classified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for T88 in this effective period.

Excludes 2

Official
  • complication following infusion, transfusion and therapeutic injection (T80.-)
  • complication following procedure NEC (T81.-)
  • complications of anesthesia in labor and delivery (O74.-)
  • complications of anesthesia in pregnancy (O29.-)
  • complications of anesthesia in puerperium (O89.-)

Related Child Codes

Official
T88.0Infection following immunization
T88.1Other complications following immunization, not elsewhere classified
T88.2Shock due to anesthesia
T88.3Malignant hyperthermia due to anesthesia
T88.4Failed or difficult intubation

Includes

Official

ICD-10-CM does not list Includes notes for T88 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for T88 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for T88 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for T88 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for T88 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.

Coder workflow notes

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What This Code Means

T88 is the ICD-10-CM diagnosis code for other complications of surgical and medical care, not elsewhere classified. T88 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 T88 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 T88'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 T88 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • complication following infusion, transfusion and therapeutic injection (T80.-)
  • complication following procedure NEC (T81.-)
  • complications of anesthesia in labor and delivery (O74.-)
  • complications of anesthesia in pregnancy (O29.-)
  • complications of anesthesia in puerperium (O89.-)
  • complications of devices, implants and grafts (T82-T85)
  • complications of obstetric surgery and procedure (O75.4)
  • dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
  • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)
  • specified complications classified elsewhere

Child Codes

Code Hierarchy

T88Other complications of surgical and medical care, not elsewhere classified
T88Other complications of surgical and medical care, not elsewhere classified

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