T88.53AktuellKategorie · weitere Spezifizierung erforderlich

Unintended awareness under general anesthesia during procedure

Kapitel 19 · Hinweise übergeordneter Ebenen

Use additional code

code to identify any retained foreign body, if applicable (Z18.-)

T80-T88 · Hinweise übergeordneter Ebenen

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)

T88.5 · Hinweise übergeordneter Ebenen

Use additional code

code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5)

T88 · Hinweise übergeordneter Ebenen

A — initial encounter

D — subsequent encounter

S — sequela

Excludes 2 · 34

T88.53

Excludes 2

personal history of unintended awareness under general anesthesia (Z92.84)

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

birth trauma (P10-P15)
obstetric trauma (O70-O71)

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

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)

T88 · Other complications of surgical and medical care, not elsewhere classified

Excludes 2

complication following infusion, transfusion and therapeutic injection (T80.-)
complication following procedure NEC (T81.-)
complications of anesthesia in labor and delivery (O74.-)
complications of anesthesia in pregnancy (O29.-)
complications of anesthesia in puerperium (O89.-)
complications of devices, implants and grafts (T82-T85)
complications of obstetric surgery and procedure (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 with fifth or sixth character 1-4)
specified complications classified elsewhere

Spezifischere Codes

T88.53XAUnintended awareness under general anesthesia during procedure, initial encounter T88.53XDUnintended awareness under general anesthesia during procedure, subsequent encounter T88.53XSUnintended awareness under general anesthesia during procedure, sequela

Abrechnung und Kostenübernahme

Wann ICD-10-CM vorgeschrieben ist

Für US-Diagnoseabrechnungen nach HIPAA ist ICD-10-CM seit dem 1. Oktober 2015 vorgeschrieben.

Für ambulante und ärztliche Abrechnungen gilt das Leistungsdatum, für stationäre Krankenhausfälle das Entlassungsdatum. Frühere Behandlungen verwenden ICD-9-CM; auch der einzelne Code muss am maßgeblichen Datum gültig sein.

Offizielle Kodierrichtlinien → · CMS ↗

Erstmals erfasst · 2016-10-01

Codeverlauf

Letzte erfasste Änderung · FY2025 · 04-01

GeändertUnverändert

FY2025 · 04-01

Gültig ab 2025-04-01

Übergeordnete Hinweise geändert

Unintended awareness under general anesthesia during procedure

Kategorie — spezifischeren Code auswählen

CDC/NCHS · FY2025 · 04-01

Alle Ausgaben (18)

Alle Ausgaben	Gültig ab	Codeverlauf
FY2017	2016-10-01	Hinzugefügt
FY2018	2017-10-01	Keine tabellarische Änderung
FY2019	2018-10-01	Keine tabellarische Änderung
FY2020	2019-10-01	Keine tabellarische Änderung
FY2020 · April	2020-04-01	Keine tabellarische Änderung
FY2021	2020-10-01	Keine tabellarische Änderung
FY2021 · 01-01	2021-01-01	Keine tabellarische Änderung
FY2022	2021-10-01	Keine tabellarische Änderung
FY2022 · 04-01	2022-04-01	Keine tabellarische Änderung
FY2023	2022-10-01	Keine tabellarische Änderung
FY2023 · 04-01	2023-04-01	Keine tabellarische Änderung
FY2024	2023-10-01	Übergeordnete Hinweise geändert
FY2024 · 04-01	2024-04-01	Keine tabellarische Änderung
FY2025	2024-10-01	Keine tabellarische Änderung
FY2025 · 04-01	2025-04-01	Übergeordnete Hinweise geändert
FY2026	2025-10-01	Keine tabellarische Änderung
FY2026 · April	2026-04-01	Keine tabellarische Änderung
FY2027	2026-10-01	Keine tabellarische Änderung

Hinweise zum Code

Excludes 2

personal history of unintended awareness under general anesthesia (Z92.84)

Hinweise übergeordneter Ebenen

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

birth trauma (P10-P15)
obstetric trauma (O70-O71)

Use additional code

code to identify any retained foreign body, if applicable (Z18.-)

Note

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

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

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)

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)

T88.5 · Other complications of anesthesia

Use additional code

code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5)

T88 · Other complications of surgical and medical care, not elsewhere classified

Excludes 2

complication following infusion, transfusion and therapeutic injection (T80.-)
complication following procedure NEC (T81.-)
complications of anesthesia in labor and delivery (O74.-)
complications of anesthesia in pregnancy (O29.-)
complications of anesthesia in puerperium (O89.-)
complications of devices, implants and grafts (T82-T85)
complications of obstetric surgery and procedure (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 with fifth or sixth character 1-4)
specified complications classified elsewhere

Seventh character

The appropriate 7th character is to be added to each code from category T88

A — initial encounter

D — subsequent encounter

S — sequela

Spezifischere Codes

T88.53XAUnintended awareness under general anesthesia during procedure, initial encounterAbrechenbarer, spezifischer Code T88.53XDUnintended awareness under general anesthesia during procedure, subsequent encounterAbrechenbarer, spezifischer Code T88.53XSUnintended awareness under general anesthesia during procedure, sequelaAbrechenbarer, spezifischer Code

Verweise im offiziellen Index (3)

Anesthesia, anesthetic (1)

Anesthesia, anesthetic › complication or reaction NEC › unintended awareness under general anesthesia during procedureKrankheitsverzeichnis

Complication(s) (from) (of) (2)

Complication(s) (from) (of) › anesthesia, anesthetic › general, unintended awareness during procedureKrankheitsverzeichnis
Complication(s) (from) (of) › anesthesia, anesthetic › unintended awareness under general anesthesia during procedureKrankheitsverzeichnis

Unintended awareness under general anesthesia during procedure

Kapitel 19 · Hinweise übergeordneter Ebenen

Use additional code

code to identify any retained foreign body, if applicable (Z18.-)

T80-T88 · Hinweise übergeordneter Ebenen

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)

T88.5 · Hinweise übergeordneter Ebenen

Use additional code

code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5)

T88 · Hinweise übergeordneter Ebenen

A — initial encounter

D — subsequent encounter

S — sequela

Excludes 2 · 34

T88.53

Excludes 2

personal history of unintended awareness under general anesthesia (Z92.84)

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

birth trauma (P10-P15)
obstetric trauma (O70-O71)

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

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)

T88 · Other complications of surgical and medical care, not elsewhere classified

Excludes 2

complication following infusion, transfusion and therapeutic injection (T80.-)
complication following procedure NEC (T81.-)
complications of anesthesia in labor and delivery (O74.-)
complications of anesthesia in pregnancy (O29.-)
complications of anesthesia in puerperium (O89.-)
complications of devices, implants and grafts (T82-T85)
complications of obstetric surgery and procedure (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 with fifth or sixth character 1-4)
specified complications classified elsewhere

Spezifischere Codes

Abrechnung und Kostenübernahme

Wann ICD-10-CM vorgeschrieben ist

Für US-Diagnoseabrechnungen nach HIPAA ist ICD-10-CM seit dem 1. Oktober 2015 vorgeschrieben.

Offizielle Kodierrichtlinien → · CMS ↗

Erstmals erfasst · 2016-10-01

Codeverlauf

Letzte erfasste Änderung · FY2025 · 04-01

GeändertUnverändert

FY2025 · 04-01

Gültig ab 2025-04-01

Übergeordnete Hinweise geändert

Unintended awareness under general anesthesia during procedure

Kategorie — spezifischeren Code auswählen

CDC/NCHS · FY2025 · 04-01

Alle Ausgaben (18)

Alle Ausgaben	Gültig ab	Codeverlauf
FY2017	2016-10-01	Hinzugefügt
FY2018	2017-10-01	Keine tabellarische Änderung
FY2019	2018-10-01	Keine tabellarische Änderung
FY2020	2019-10-01	Keine tabellarische Änderung
FY2020 · April	2020-04-01	Keine tabellarische Änderung
FY2021	2020-10-01	Keine tabellarische Änderung
FY2021 · 01-01	2021-01-01	Keine tabellarische Änderung
FY2022	2021-10-01	Keine tabellarische Änderung
FY2022 · 04-01	2022-04-01	Keine tabellarische Änderung
FY2023	2022-10-01	Keine tabellarische Änderung
FY2023 · 04-01	2023-04-01	Keine tabellarische Änderung
FY2024	2023-10-01	Übergeordnete Hinweise geändert
FY2024 · 04-01	2024-04-01	Keine tabellarische Änderung
FY2025	2024-10-01	Keine tabellarische Änderung
FY2025 · 04-01	2025-04-01	Übergeordnete Hinweise geändert
FY2026	2025-10-01	Keine tabellarische Änderung
FY2026 · April	2026-04-01	Keine tabellarische Änderung
FY2027	2026-10-01	Keine tabellarische Änderung

Hinweise zum Code

Excludes 2

personal history of unintended awareness under general anesthesia (Z92.84)

Hinweise übergeordneter Ebenen

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

birth trauma (P10-P15)
obstetric trauma (O70-O71)

Use additional code

code to identify any retained foreign body, if applicable (Z18.-)

Note

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

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

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)

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)

T88.5 · Other complications of anesthesia

Use additional code

code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5)

T88 · Other complications of surgical and medical care, not elsewhere classified

Excludes 2

complication following infusion, transfusion and therapeutic injection (T80.-)
complication following procedure NEC (T81.-)
complications of anesthesia in labor and delivery (O74.-)
complications of anesthesia in pregnancy (O29.-)
complications of anesthesia in puerperium (O89.-)
complications of devices, implants and grafts (T82-T85)
complications of obstetric surgery and procedure (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 with fifth or sixth character 1-4)
specified complications classified elsewhere

Seventh character

The appropriate 7th character is to be added to each code from category T88

A — initial encounter

D — subsequent encounter

S — sequela

Spezifischere Codes

Verweise im offiziellen Index (3)

Anesthesia, anesthetic (1)

Anesthesia, anesthetic › complication or reaction NEC › unintended awareness under general anesthesia during procedureKrankheitsverzeichnis

Complication(s) (from) (of) (2)

Complication(s) (from) (of) › anesthesia, anesthetic › general, unintended awareness during procedureKrankheitsverzeichnis
Complication(s) (from) (of) › anesthesia, anesthetic › unintended awareness under general anesthesia during procedureKrankheitsverzeichnis

Code	Beschreibung	Kategorie · weitere Spezifizierung erforderlich
T88.51	Hypothermia following anesthesia	Kategorie · weitere Spezifizierung erforderlich
T88.52	Failed moderate sedation during procedure	Kategorie · weitere Spezifizierung erforderlich
T88.59	Other complications of anesthesia	Kategorie · weitere Spezifizierung erforderlich

Kapitel 19 · Hinweise übergeordneter Ebenen

T80-T88 · Hinweise übergeordneter Ebenen

T88.5 · Hinweise übergeordneter Ebenen

T88 · Hinweise übergeordneter Ebenen

T88.53

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

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

T88 · Other complications of surgical and medical care, not elsewhere classified

Spezifischere Codes

Abrechnung und Kostenübernahme

Codeverlauf

Alle Ausgaben (18)

Hinweise zum Code

Hinweise übergeordneter Ebenen

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

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

T88.5 · Other complications of anesthesia

T88 · Other complications of surgical and medical care, not elsewhere classified

Spezifischere Codes

Verweise im offiziellen Index (3)

Verwandte Codes

Kapitel 19 · Hinweise übergeordneter Ebenen

T80-T88 · Hinweise übergeordneter Ebenen

T88.5 · Hinweise übergeordneter Ebenen

T88 · Hinweise übergeordneter Ebenen

T88.53

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

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

T88 · Other complications of surgical and medical care, not elsewhere classified

Spezifischere Codes

Abrechnung und Kostenübernahme

Codeverlauf

Alle Ausgaben (18)

Hinweise zum Code

Hinweise übergeordneter Ebenen

Kapitel 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

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

T88.5 · Other complications of anesthesia

T88 · Other complications of surgical and medical care, not elsewhere classified

Spezifischere Codes

Verweise im offiziellen Index (3)

Verwandte Codes