T100-T108
Medium Complexity

Complications of surgical and medical care, not elsewhere classified

Primary Specialty: Surgery
Last Updated: 2025-09-09

ICD-10 Codes (0)

0 billable
0 category headers

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Updates & Changes

FY 2026 Updates

Current Year

New Codes (2)

T40.411A
Poisoning by fentanyl, accidental (unintentional), initial encounter
T40.491A
Poisoning by other synthetic narcotics, accidental (unintentional), initial encounter

Revised Codes (1)

T40.2X1A
Poisoning by other opioids, accidental (unintentional) - updated to include synthetic opioid specifications

Deleted Codes

No codes deleted in this range for FY 2026

Historical Changes

  • FY 2025: Routine maintenance updates with minor terminology clarifications
  • FY 2024: Enhanced specificity requirements for certain code ranges
  • FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

  • Proposed updates pending review by Coordination and Maintenance Committee
  • Under consideration: Enhanced digital health integration codes

Implementation Guidance

  • Review all FY 2026 updates for T100-T108 codes before implementation
  • Always verify the most current codes in the ICD-10-CM manual
  • Ensure clinical documentation supports the selected diagnosis codes
  • +3 more guidance items...

Range Overview

high priority

The ICD-10 code range T100-T108 covers complications of surgical and medical care that are not classified elsewhere. These codes are used to document injuries, poisoning, and other adverse effects resulting from medical or surgical procedures. The range includes codes for complications involving implanted devices, reactions to drugs, and post-procedural complications.

Key Usage Points:

  • Use these codes to document complications arising from medical or surgical care.
  • These codes cover a wide range of complications, including those involving implanted devices.
  • The codes also cover adverse reactions to drugs and other substances used in medical care.
  • Post-procedural complications are also included in this range.
  • Always code to the highest level of specificity.

Coding Guidelines

When to Use:

  • When a patient experiences a complication from a surgical procedure.
  • When a patient has an adverse reaction to a drug used in medical care.
  • When a patient has a complication involving an implanted device.
  • When a patient experiences a post-procedural complication.

When NOT to Use:

  • When the complication is covered by another specific code.
  • When the complication is a normal post-operative occurrence.
  • When the complication is due to patient non-compliance.
  • When the complication is due to a pre-existing condition.

Code Exclusions

Always verify exclusions with the latest ICD-10 coding manual.

Documentation Requirements

Documentation for codes in this range should include a detailed description of the complication, the medical or surgical procedure that led to the complication, and any treatment provided for the complication.

Clinical Information:

  • Description of the complication
  • Medical or surgical procedure that led to the complication
  • Treatment provided for the complication
  • Outcome of the complication

Supporting Evidence:

  • Operative report
  • Medical record notes
  • Laboratory results
  • Imaging results
Good Documentation Example:

Patient experienced an adverse reaction to the anesthesia used during a surgical procedure. The reaction was treated with antihistamines and the patient recovered without further complications.

Poor Documentation Example:

Patient had a reaction to surgery.

Common Documentation Errors:

  • Not coding to the highest level of specificity
  • Not documenting the medical or surgical procedure that led to the complication
  • Not documenting the treatment provided for the complication

Range Statistics

9
Total Codes
0
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:

Coding Complexity

Medium
Complexity Rating

The complexity of coding in this range is medium due to the need to accurately identify the specific complication and the medical or surgical procedure that led to the complication. Additionally, coders must navigate the numerous subcategories within this code range and code to the highest level of specificity.

Key Factors:
  • Determining the specific complication
  • Identifying the medical or surgical procedure that led to the complication
  • Coding to the highest level of specificity
  • Navigating the numerous subcategories within this code range

Specialty Focus

These codes are used across a variety of medical specialties, including surgery, anesthesiology, and internal medicine.

Primary Specialties:
Surgery
40%
Anesthesiology
30%
Internal Medicine
30%
Clinical Scenarios:
  • A patient experiences a post-operative wound infection after a surgical procedure.
  • A patient has an adverse reaction to a drug used during a medical procedure.
  • A patient experiences a complication involving an implanted pacemaker.
  • A patient has a post-procedural complication after a surgical procedure.

Resources & References

Resources for this code range include the latest ICD-10 coding manual, the American Medical Association's CPT Assistant, and various online coding forums.

Official Guidelines:

  • ICD-10-CM Official Guidelines for Coding and Reporting
  • American Medical Association's CPT Assistant
  • Online coding forums

Clinical References:

  • Medical textbooks
  • Clinical practice guidelines

Educational Materials:

  • ICD-10 coding courses
  • Webinars on medical coding

Frequently Asked Questions

Can I use these codes for complications that are normal post-operative occurrences?

No, these codes should not be used for normal post-operative occurrences. They should only be used for complications that are not expected as part of the normal post-operative recovery process.