T81.12 Postprocedural septic shock

Non-billable ICD-10-CM code.

Applicable to

• Postprocedural endotoxic shock resulting from a procedure, not elsewhere classified
• Postprocedural gram-negative shock resulting from a procedure, not elsewhere classified

Code first

• underlying infection

Use additional code

• code, to identify any associated acute organ dysfunction, if applicable

Applies from T81 Complications of procedures, not elsewhere classified

Excludes2 (not included here)

• complications following immunization (T88.0-T88.1)
• complications following infusion, transfusion and therapeutic injection (T80.-)
• complications of transplanted organs and tissue (T86.-)
• specified complications classified elsewhere, such as:
• complication of prosthetic devices, implants and grafts (T82-T85)
• dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
• endosseous dental implant failure (M27.6-)
• floppy iris syndrome (IFIS) (intraoperative) H21.81
• intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)
• ostomy complications (J95.0-, K94.-, N99.5-)
• plateau iris syndrome (post-iridectomy) (postprocedural) H21.82
• poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)

Use additional code

• code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

7th character note

• The appropriate 7th character is to be added to each code from category T81

7th character required

• A — initial encounter
• D — subsequent encounter
• S — sequela

Applies from T81.1 Postprocedural shock

Applicable to

• Shock during or resulting from a procedure, not elsewhere classified

Excludes1 (never code together)

• anaphylactic shock NOS (T78.2)
• anaphylactic shock due to correct substance properly administered (T88.6)
• anaphylactic shock due to serum (T80.5-)
• electric shock (T75.4)
• obstetric shock (O75.1)
• shock due to anesthesia (T88.2)
• shock following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
• traumatic shock (T79.4)

Code annotations containing back-references to T81.12

Back-references to T81.12

• Type 1 Excludes: R65.21 Severe sepsis with septic shock ("postprocedural septic shock (T81.12-)")

Back-references to T81.1

• Type 2 Excludes: I97 Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified ("postprocedural shock (T81.1-)")
• Type 1 Excludes: R55 Syncope and collapse ("postprocedural shock (T81.1-)")
• Type 1 Excludes: R57 Shock, not elsewhere classified ("postprocedural shock (T81.1-)")
• Type 1 Excludes: T79.4 Traumatic shock ("postprocedural shock (T81.1-)")
• Type 1 Excludes: T88.2 Shock due to anesthesia ("postprocedural shock NOS (T81.1-)")

Back-references to T81

• Code First: J98.51 Mediastinitis ("underlying condition, if applicable, such as postoperative mediastinitis (T81.-)")
• Type 2 Excludes: T78 Adverse effects, not elsewhere classified ("complications of surgical and medical care NEC (T80-T88)")
• Type 2 Excludes: T79 Certain early complications of trauma, not elsewhere classified ("complications occurring during or following medical procedures (T80-T88)")
• Type 2 Excludes: T79 Certain early complications of trauma, not elsewhere classified ("complications of surgical and medical care NEC (T80-T88)")
• Type 2 Excludes: T88 Other complications of surgical and medical care, not elsewhere classified ("complication following procedure NEC (T81.-)")

Diagnosis Index entries for T81.12

• Shock › endotoxic › postprocedural (resulting from a procedure, not elsewhere classified)
• Shock › gram-negative › postprocedural (resulting from a procedure, not elsewhere classified)
• Shock › postprocedural (postoperative) › endotoxic
• Shock › postprocedural (postoperative) › gram-negative
• Shock › postprocedural (postoperative) › septic

Nearby codes

• T81.10XS Postprocedural shock unspecified, sequela
• T81.11 Postprocedural cardiogenic shock
• T81.11XA Postprocedural cardiogenic shock, initial encounter
• T81.11XD Postprocedural cardiogenic shock, subsequent encounter
• T81.11XS Postprocedural cardiogenic shock, sequela
• T81.12 Postprocedural septic shock (this code)
• T81.12XA Postprocedural septic shock, initial encounter
• T81.12XD Postprocedural septic shock, subsequent encounter
• T81.12XS Postprocedural septic shock, sequela
• T81.19 Other postprocedural shock
• T81.19XA Other postprocedural shock, initial encounter