Wiki T81.89XX

samyjm13

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I code for wound and some of the coders assign the dx code T81.89xx for (Other complication of procedures not elsewhere classified) as a secondary with the additional dx code as primary. I assign this dx code as primary and then the additional dx code per ICD 10 description. I can not seem to find any guidance that it should be exclusive primary or can it be either? Good use some thoughts on this.
 
I hope this information is helpful:

Injury, poisoning and certain other consequences of external causes (S00-T88)
Chapter Notes to Remember:

Use Additional Code:
code to identify any retained foreign body, if applicable (Z18.-)
Excludes 1
birth trauma (P10-P15), obstetric trauma (O70-O71)

Complications of surgical and medical care, not elsewhere classified (T80-T88)
Section Notes to Remember
Use Additional Code:
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
code to identify devices involved and details of circumstances (Y62-Y82)
Excludes 2
any encounters with medical care for postprocedural conditions in which no complications are present, such as:
artificial opening status (Z93.-)
closure of external stoma (Z43.-)
fitting and adjustment of external prosthetic device (Z44.-)
burns and corrosions from local applications and irradiation (T20-T32)
complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
mechanical complication of respirator [ventilator] (J95.850)
poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
postprocedural fever (R50.82)
specified complications classified elsewhere, such as:
cerebrospinal fluid leak from spinal puncture (G97.0)
colostomy malfunction (K94.0-)
disorders of fluid and electrolyte imbalance (E86-E87)
functional disturbances following cardiac surgery (I97.0-I97.1)
intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
ostomy complications (J95.0-, K94.-, N99.5-)
postgastric surgery syndromes (K91.1)
postlaminectomy syndrome NEC (M96.1)
postmastectomy lymphedema syndrome (I97.2)
postsurgical blind-loop syndrome (K91.2)
ventilator associated pneumonia (J95.851)
 
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