Chapter XIX

Injury, poisoning and certain other consequences of external causes
(S00-T98)

Complications of surgical and medical care, not elsewhere classified
(T80-T88)

Use additional external cause code (Chapter XX), if desired, to identify devices involved and details of circumstances.
Use additional code (B95-B97), if desired, to identify infectious agent.
Excludes: adverse effects of drugs and medicaments ( A00-R99 , T78.- )
any encounters with medical care for postoperative 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-O99 )
poisoning and toxic effects of drugs and chemicals ( T36-T65 )
specified complications classified elsewhere, such as:
· cerebrospinal fluid leak from spinal puncture ( G97.0 )
· colostomy malfunction ( K91.4 )
· disorders of fluid and electrolyte balance ( E86-E87 )
· functional disturbances following cardiac surgery ( I97.0-I97.1 )
· postgastric surgery syndromes ( K91.1 )
· postlaminectomy syndrome NEC ( M96.1 )
· postmastectomy lymphoedema syndrome ( I97.2 )
· postsurgical blind-loop syndrome ( K91.2 )

T80 Complications following infusion, transfusion and therapeutic injection
Includes: perfusion
Excludes: bone-marrow transplant rejection ( T86.0 )
T80.0 Air embolism following infusion, transfusion and therapeutic injection
T80.1 Vascular complications following infusion, transfusion and therapeutic injection
Phlebitis
Thromboembolism
Thrombophlebitis
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}
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following infusion, transfusion and therapeutic injection
Excludes: the listed conditions when specified as:
· due to prosthetic devices, implants and grafts ( T82.8 , T83.8 , T84.8 , T85.8 )
· postprocedural ( T81.7 )
T80.2 Infections following infusion, transfusion and therapeutic injection
Infection
Sepsis
Septicaemia
Septic shock
}
}
}
}
following infusion, transfusion and therapeutic injection
Excludes: the listed conditions when specified as:
· due to prosthetic devices, implants and grafts ( T82.6-T82.7 , T83.5-T83.6 , T84.5-T84.7 , T85.7 )
· postprocedural ( T81.4 )
T80.3 ABO incompatibility reaction
Incompatible blood transfusion
Reaction to blood-group incompatibility in infusion or transfusion
T80.4 Rh incompatibility reaction
Reaction due to Rh factor in infusion or transfusion
T80.5 Anaphylactic shock due to serum
Excludes: shock:
· allergic NOS ( T78.2 )
· anaphylactic:
  · NOS ( T78.2 )
  · due to adverse effect of correct medicinal substance properly administered ( T88.6 )
T80.6 Other serum reactions
Intoxication by serum
Protein sickness
Serum:
· rash
· sickness
· urticaria
Excludes: serum hepatitis ( B16.- )
T80.8 Other complications following infusion, transfusion and therapeutic injection
T80.9 Unspecified complication following infusion, transfusion and therapeutic injection
Transfusion reaction NOS

T81 Complications of procedures, not elsewhere classified
Excludes: adverse effect of drug NOS ( T88.7 )
complication following:
· immunization ( T88.0-T88.1 )
· infusion, transfusion and therapeutic injection ( T80.- )
specified complications classified elsewhere, such as:
· complications of prosthetic devices, implants and grafts ( T82-T85 )
· 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 )
T81.0 Haemorrhage and haematoma complicating a procedure, not elsewhere classified
Haemorrhage at any site resulting from a procedure
Excludes: haematoma of obstetric wound ( O90.2 )
haemorrhage due to prosthetic devices, implants and grafts ( T82.8 , T83.8 , T84.8 , T85.8 )
T81.1 Shock during or resulting from a procedure, not elsewhere classified
Collapse NOS
Shock (endotoxic)(hypovolaemic)(septic)
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}
during or following a procedure
Postoperative shock NOS
Excludes: shock:
· anaesthetic ( T88.2 )
· anaphylactic:
  · NOS ( T78.2 )
  · due to:
    · correct medicinal substance properly administered ( T88.6 )
    · serum ( T80.5 )
· electric ( T75.4 )
· following abortion or ectopic or molar pregnancy ( O00-O07 , O08.3 )
· obstetric ( O75.1 )
· traumatic ( T79.4 )
T81.2 Accidental puncture and laceration during a procedure, not elsewhere classified
Accidental perforation of:
· blood vessel
· nerve
· organ
}
}
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by
{
{
{
{
catheter
endoscope
instrument
probe
}
}
}
}
during a procedure
Excludes: damage from instruments during delivery ( O70-O71 )
perforation, puncture or laceration caused by device or implant intentionally left in operation wound ( T82-T85 )
specified complications classified elsewhere, such as broad ligament laceration syndrome [Allen-Masters] ( N83.8 )
T81.3 Disruption of operation wound, not elsewhere classified
Dehiscence
Rupture
}
}
of operation wound
Excludes: disruption of:
· caesarean-section wound ( O90.0 )
· perineal obstetric wound ( O90.1 )
T81.4 Infection following a procedure, not elsewhere classified
Abscess:
· intra-abdominal
· stitch
· subphrenic
· wound
Septicaemia
}
}
}
}
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}
postprocedural
Excludes: infection due to:
· infusion, transfusion and therapeutic injection ( T80.2 )
· prosthetic devices, implants and grafts ( T82.6-T82.7 , T83.5-T83.6 , T84.5-T84.7 , T85.7 )
obstetric surgical wound infection ( O86.0 )
T81.5 Foreign body accidentally left in body cavity or operation wound following a procedure
Adhesions
Obstruction
Perforation
}
}
}
due to foreign body accidentally left in operation wound or body cavity
Excludes: obstruction or perforation due to prosthetic devices and implants intentionally left in body ( T82.0-T82.5 , T83.0-T83.4 , T84.0-T84.4 , T85.0-T85.6 )
T81.6 Acute reaction to foreign substance accidentally left during a procedure
Peritonitis:
· aseptic
· chemical
T81.7 Vascular complications following a procedure, not elsewhere classified
Air embolism following procedure NEC
Excludes: embolism:
· complicating:
  · abortion or ectopic or molar pregnancy ( O00-O07 , O08.2 )
  · pregnancy, childbirth and the puerperium ( O88.- )
· due to prosthetic devices, implants and grafts ( T82.8 , T83.8 , T84.8 , T85.8 )
· following infusion, transfusion and therapeutic injection ( T80.0 )
· traumatic ( T79.0 )
T81.8 Other complications of procedures, not elsewhere classified
Complication of inhalation therapy
Emphysema (subcutaneous) resulting from a procedure
Persistent postoperative fistula
Excludes: hypothermia following anaesthesia ( T88.5 )
malignant hyperthermia due to anaesthesia ( T88.3 )
T81.9 Unspecified complication of procedure

T82 Complications of cardiac and vascular prosthetic devices, implants and grafts
Excludes: failure and rejection of transplanted organs and tissues ( T86.- )
T82.0 Mechanical complication of heart valve prosthesis
Breakdown (mechanical)
Displacement
Leakage
Malposition
Obstruction, mechanical
Perforation
Protrusion
}
}
}
}
}
}
}
due to heart valve prosthesis
T82.1 Mechanical complication of cardiac electronic device
Conditions listed in T82.0 due to:
· electrodes
· pulse generator (battery)
T82.2 Mechanical complication of coronary artery bypass and valve grafts
Conditions listed in T82.0 due to coronary artery bypass and valve grafts
T82.3 Mechanical complication of other vascular grafts
Conditions listed in T82.0 due to:
· aortic (bifurcation) graft (replacement)
· arterial (carotid) (femoral) graft (bypass)
T82.4 Mechanical complication of vascular dialysis catheter
Conditions listed in T82.0 due to vascular dialysis catheter
Excludes: mechanical complication of intraperitoneal dialysis catheter ( T85.6 )
T82.5 Mechanical complication of other cardiac and vascular devices and implants
Conditions listed in T82.0 due to:
· arteriovenous:
  · fistula
  · shunt
}
}
}
surgically created
· artificial heart
· balloon (counterpulsation) device
· infusion catheter
· umbrella device
Excludes: mechanical complication of epidural and subdural infusion catheter ( T85.6 )
T82.6 Infection and inflammatory reaction due to cardiac valve prosthesis
T82.7 Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts
T82.8 Other complications of cardiac and vascular prosthetic devices, implants and grafts
Complication
Embolism
Fibrosis
Haemorrhage
Pain
Stenosis
Thrombosis
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}
}
}
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}
due to cardiac and vascular prosthetic devices, implants and grafts
T82.9 Unspecified complication of cardiac and vascular prosthetic device, implant and graft

T83 Complications of genitourinary prosthetic devices, implants and grafts
Excludes: failure and rejection of transplanted organs and tissues ( T86.- )
T83.0 Mechanical complication of urinary (indwelling) catheter
Conditions listed in T82.0 due to:
· catheter:
  · cystostomy
  · urethral, indwelling
T83.1 Mechanical complication of other urinary devices and implants
Conditions listed in T82.0 due to:
· urinary:
  · electronic stimulator device
  · sphincter implant
  · stent
T83.2 Mechanical complication of graft of urinary organ
Conditions listed in T82.0 due to graft of urinary organ
T83.3 Mechanical complication of intrauterine contraceptive device
Conditions listed in T82.0 due to intrauterine contraceptive device
T83.4 Mechanical complication of other prosthetic devices, implants and grafts in genital tract
Conditions listed in T82.0 due to (implanted) penile prosthesis
T83.5 Infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system
T83.6 Infection and inflammatory reaction due to prosthetic device, implant and graft in genital tract
T83.8 Other complications of genitourinary prosthetic devices, implants and grafts
Conditions listed in T82.8 due to genitourinary prosthetic devices, implants and grafts
T83.9 Unspecified complication of genitourinary prosthetic device, implant and graft

T84 Complications of internal orthopaedic prosthetic devices, implants and grafts
Excludes: failure and rejection of transplanted organs and tissues ( T86.- )
fracture of bone following insertion of orthopaedic implant, joint prosthesis or bone plate ( M96.6 )
T84.0 Mechanical complication of internal joint prosthesis
Conditions listed in T82.0 due to joint prosthesis
T84.1 Mechanical complication of internal fixation device of bones of limb
Conditions listed in T82.0 due to internal fixation device of bones of limb
T84.2 Mechanical complication of internal fixation device of other bones
Conditions listed in T82.0 due to internal fixation device of other bones
T84.3 Mechanical complication of other bone devices, implants and grafts
Conditions listed in T82.0 due to:
· bone graft
· electronic bone stimulator
T84.4 Mechanical complication of other internal orthopaedic devices, implants and grafts
Conditions listed in T82.0 due to muscle and tendon graft
T84.5 Infection and inflammatory reaction due to internal joint prosthesis
T84.6 Infection and inflammatory reaction due to internal fixation device [any site]
T84.7 Infection and inflammatory reaction due to other internal orthopaedic prosthetic devices, implants and grafts
T84.8 Other complications of internal orthopaedic prosthetic devices, implants and grafts
Conditions listed in T82.8 due to internal orthopaedic prosthetic devices, implants and grafts
T84.9 Unspecified complication of internal orthopaedic prosthetic device, implant and graft

T85 Complications of other internal prosthetic devices, implants and grafts
Excludes: failure and rejection of transplanted organs and tissues ( T86.- )
T85.0 Mechanical complication of ventricular intracranial (communicating) shunt
Conditions listed in T82.0 due to ventricular intracranial (communicating) shunt
T85.1 Mechanical complication of implanted electronic stimulator of nervous system
Conditions listed in T82.0 due to electronic neurostimulator (electrode) of:
· brain
· peripheral nerve
· spinal cord
T85.2 Mechanical complication of intraocular lens
Conditions listed in T82.0 due to intraocular lens
T85.3 Mechanical complication of other ocular prosthetic devices, implants and grafts
Conditions listed in T82.0 due to:
· corneal graft
· prosthetic orbit of eye
T85.4 Mechanical complication of breast prosthesis and implant
Conditions listed in T82.0 due to breast prosthesis and implant
T85.5 Mechanical complication of gastrointestinal prosthetic devices, implants and grafts
Conditions listed in T82.0 due to:
· bile-duct prosthesis
· oesophageal anti-reflux device
T85.6 Mechanical complication of other specified internal prosthetic devices, implants and grafts
Conditions listed in T82.0 due to:
· epidural and subdural infusion catheter
· intraperitoneal dialysis catheter
· nonabsorbable surgical material NOS
· permanent sutures
Excludes: mechanical complication of permanent (wire) suture used in bone repair ( T84.1-T84.2 )
T85.7 Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts
T85.8 Other complications of internal prosthetic devices, implants and grafts, not elsewhere classified
Conditions listed in T82.8 due to internal prosthetic devices, implants and grafts NEC
T85.9 Unspecified complication of internal prosthetic device, implant and graft
Complication of internal prosthetic device, implant and graft NOS

T86 Failure and rejection of transplanted organs and tissues
T86.0 Bone-marrow transplant rejection
Graft-versus-host reaction or disease
T86.1 Kidney transplant failure and rejection
T86.2 Heart transplant failure and rejection
Excludes: complication of:
· artificial heart device ( T82.5 )
· heart-lung transplant ( T86.3 )
T86.3 Heart-lung transplant failure and rejection
T86.4 Liver transplant failure and rejection
T86.8 Failure and rejection of other transplanted organs and tissues
Transplant failure or rejection of:
· bone
· intestine
· lung
· pancreas
· skin (allograft) (autograft)
T86.9 Failure and rejection of unspecified transplanted organ and tissue

T87 Complications peculiar to reattachment and amputation
T87.0 Complications of reattached (part of) upper extremity
T87.1 Complications of reattached (part of) lower extremity
T87.2 Complications of other reattached body part
T87.3 Neuroma of amputation stump
T87.4 Infection of amputation stump
T87.5 Necrosis of amputation stump
T87.6 Other and unspecified complications of amputation stump
Amputation stump:
· contracture (flexion)(of next proximal joint)
· haematoma
· oedema
Excludes: phantom limb syndrome ( G54.6-G54.7 )

T88 Other complications of surgical and medical care, not elsewhere classified
Excludes: accidental puncture or laceration during a procedure ( T81.2 )
complications following:
· infusion, transfusion and therapeutic injection ( T80.- )
· procedure NEC ( T81.- )
specified complications classified elsewhere, such as:
· complications of:
  · anaesthesia in:
    · labour and delivery ( O74.- )
    · pregnancy ( O29.- )
    · puerperium ( O89.- )
· devices, implants and grafts ( T82-T85 )
· obstetric surgery and procedures ( 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 )
T88.0 Infection following immunization
Sepsis
Septicaemia
}
}
following immunization
T88.1 Other complications following immunization, not elsewhere classified
Rash following immunization
Excludes: anaphylactic shock due to serum ( T80.5 )
other serum reactions ( T80.6 )
postimmunization:
· arthropathy ( M02.2 )
· encephalitis ( G04.0 )
T88.2 Shock due to anaesthesia
Shock due to anaesthesia in which the correct substance was properly administered
Excludes: complications of anaesthesia (in):
· from overdose or wrong substance given ( T36-T50 )
· labour and delivery ( O74.- )
· pregnancy ( O29.- )
· puerperium ( O89.- )
postoperative shock NOS ( T81.1 )
T88.3 Malignant hyperthermia due to anaesthesia
T88.4 Failed or difficult intubation
T88.5 Other complications of anaesthesia
Hypothermia following anaesthesia
T88.6 Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
Excludes: anaphylactic shock due to serum ( T80.5 )
T88.7 Unspecified adverse effect of drug or medicament
Adverse effect of
Allergic reaction to
Hypersensitivity to
Idiosyncracy to
}
}
}
}
correct drug or medicament properly administered
Drug:
· hypersensitivity NOS
· reaction NOS
Excludes: specified adverse effects of drugs and medicaments ( A00-R99 , T80-T88.6 , T88.8 )
T88.8 Other specified complications of surgical and medical care, not elsewhere classified
T88.9 Complication of surgical and medical care, unspecified
Excludes: adverse effect NOS ( T78.9 )


Processed on 03.06.2003 M.S. Source: World Health Organization © Copyright WHO 1994/2003