T88.6 ICD-10-CM Code: Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered
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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)
T88.6
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceAnaphylactic reaction due to adverse effect of correct drug or medicament properly administered
Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
- Anaphylactoid reaction NOS
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
Includes
OfficialICD-10-CM does not list Includes notes for T88.6 in this effective period.
Excludes 1
Official- anaphylactic reaction due to serum (T80.5-)
- anaphylactic shock or reaction due to adverse food reaction (T78.0-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for T88.6 in this effective period.
Use Additional
Official- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Code Also
OfficialICD-10-CM does not list Code Also instructions for T88.6 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
T88.6 is the ICD-10-CM diagnosis code for anaphylactic reaction due to adverse effect of correct drug or medicament properly administered. T88.6 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 T88.6 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 T88.6'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 T88.6 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.