ICD Code T81.40XA

ICD code T81.40XA is an unspecified infection that occurs after a medical or surgical procedure, documented during the patient's initial encounter for this complication.

1. Patient has undergone a medical or surgical procedure.

2. Signs or symptoms of infection are present post-procedure (e.g., fever, redness, swelling, pain, discharge at the procedure site).

3. No specific type or site of infection has been identified or documented.

4. The infection is determined to be a complication directly related to the recent procedure.

5. This is the initial encounter for the infection following the procedure.

Relevant CPT codes that may be used to treat ICD code T81.40XA include:

- 10180 (Incision and drainage, complex, postoperative wound infection)

- 11042 (Debridement, subcutaneous tissue)

- 11043 (Debridement, muscle and/or fascia)

- 12031–12037 (Repair, intermediate, wounds of various sizes)

- 97597 (Removal of devitalized tissue, first 20 sq cm or less)

- 97598 (Each additional 20 sq cm)

- wound culture codes (87070, 87071)

- wound care management codes (e.g., 99211–99215 for evaluation and management, as appropriate)

CPT code selection should be based on the specific procedure performed and clinical documentation.

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