ICD-10 · PDGM grouping
T88 Other complications of surgical and medical care, not elsewhere classified
All 39 codes in the T88 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
39
Can lead a claim
33
Cannot lead a claim
6
What CMS assigns to T88
33 of the 39 codes group to MMTA - Other (30) and MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases (3); 6 are assigned no clinical group. None of the 39 is assigned a comorbidity subgroup. 33 of the 39 can lead a claim.
Every code in T88
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| T88.0 Infection following immunization | ||||
| T88.0XXA | Infection following immunization, initial encounter | Can lead a claim | K | None |
| T88.0XXD | Infection following immunization, subsequent encounter | Can lead a claim | K | None |
| T88.0XXS | Infection following immunization, sequela | Can lead a claim | K | None |
| T88.1 Other complications following immunization, not elsewhere classified | ||||
| T88.1XXA | Other complications following immunization, not elsewhere classified, initial encounterCMS: Oth complications following immunization, NEC, init | Can lead a claim | A | None |
| T88.1XXD | Other complications following immunization, not elsewhere classified, subsequent encounterCMS: Oth complications following immunization, NEC, subs | Can lead a claim | A | None |
| T88.1XXS | Other complications following immunization, not elsewhere classified, sequelaCMS: Oth complications following immunization, NEC, sequela | Can lead a claim | A | None |
| T88.2 Shock due to anesthesia | ||||
| T88.2XXA | Shock due to anesthesia, initial encounter | Can lead a claim | A | None |
| T88.2XXD | Shock due to anesthesia, subsequent encounter | Can lead a claim | A | None |
| T88.2XXS | Shock due to anesthesia, sequela | Can lead a claim | A | None |
| T88.3 Malignant hyperthermia due to anesthesia | ||||
| T88.3XXA | Malignant hyperthermia due to anesthesia, initial encounter | Can lead a claim | A | None |
| T88.3XXD | Malignant hyperthermia due to anesthesia, subsequent encounterCMS: Malignant hyperthermia due to anesthesia, subs encntr | Can lead a claim | A | None |
| T88.3XXS | Malignant hyperthermia due to anesthesia, sequela | Can lead a claim | A | None |
| T88.4 Failed or difficult intubation | ||||
| T88.4XXA | Failed or difficult intubation, initial encounter | Can lead a claim | A | None |
| T88.4XXD | Failed or difficult intubation, subsequent encounter | Can lead a claim | A | None |
| T88.4XXS | Failed or difficult intubation, sequela | Can lead a claim | A | None |
| T88.5 Other complications of anesthesia | ||||
| T88.51 Hypothermia following anesthesia | ||||
| T88.51XA | Hypothermia following anesthesia, initial encounter | Can lead a claim | A | None |
| T88.51XD | Hypothermia following anesthesia, subsequent encounter | Can lead a claim | A | None |
| T88.51XS | Hypothermia following anesthesia, sequela | Can lead a claim | A | None |
| T88.52 Failed moderate sedation during procedure | ||||
| T88.52XA | Failed moderate sedation during procedure, initial encounter | Can lead a claim | A | None |
| T88.52XD | Failed moderate sedation during procedure, subsequent encounterCMS: Failed moderate sedation during procedure, subs encntr | Can lead a claim | A | None |
| T88.52XS | Failed moderate sedation during procedure, sequela | Can lead a claim | A | None |
| T88.53 Unintended awareness under general anesthesia during procedure | ||||
| T88.53XA | Unintended awareness under general anesthesia during procedure, initial encounterCMS: Unintended awareness under general anesth during proc, init | Can lead a claim | A | None |
| T88.53XD | Unintended awareness under general anesthesia during procedure, subsequent encounterCMS: Unintended awareness under general anesth during proc, subs | Can lead a claim | A | None |
| T88.53XS | Unintended awareness under general anesthesia during procedure, sequelaCMS: Unintended awareness under general anesth during proc, sqla | Can lead a claim | A | None |
| T88.59 Other complications of anesthesia | ||||
| T88.59XA | Other complications of anesthesia, initial encounter | Can lead a claim | A | None |
| T88.59XD | Other complications of anesthesia, subsequent encounter | Can lead a claim | A | None |
| T88.59XS | Other complications of anesthesia, sequela | Can lead a claim | A | None |
| T88.6 Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered | ||||
| T88.6XXA | Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered, initial encounterCMS: Anaphyl reaction due to advrs eff drug/med prop admin, init | Can lead a claim | A | None |
| T88.6XXD | Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered, subsequent encounterCMS: Anaphyl reaction due to advrs eff drug/med prop admin, subs | Can lead a claim | A | None |
| T88.6XXS | Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered, sequelaCMS: Anaphyl react due to advrs eff drug/med prop admin, sequela | Can lead a claim | A | None |
| T88.7 Unspecified adverse effect of drug or medicament | ||||
| T88.7XXA | Unspecified adverse effect of drug or medicament, initial encounterCMS: Unsp adverse effect of drug or medicament, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T88.7XXD | Unspecified adverse effect of drug or medicament, subsequent encounterCMS: Unsp adverse effect of drug or medicament, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T88.7XXS | Unspecified adverse effect of drug or medicament, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T88.8 Other specified complications of surgical and medical care, not elsewhere classified | ||||
| T88.8XXA | Other specified complications of surgical and medical care, not elsewhere classified, initial encounterCMS: Oth complications of surgical and medical care, NEC, init | Can lead a claim | A | None |
| T88.8XXD | Other specified complications of surgical and medical care, not elsewhere classified, subsequent encounterCMS: Oth complications of surgical and medical care, NEC, subs | Can lead a claim | A | None |
| T88.8XXS | Other specified complications of surgical and medical care, not elsewhere classified, sequelaCMS: Oth complications of surgical and medical care, NEC, sequela | Can lead a claim | A | None |
| T88.9 Complication of surgical and medical care, unspecified | ||||
| T88.9XXA | Complication of surgical and medical care, unspecified, initial encounterCMS: Complication of surgical and medical care, unsp, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T88.9XXD | Complication of surgical and medical care, unspecified, subsequent encounterCMS: Complication of surgical and medical care, unsp, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| T88.9XXS | Complication of surgical and medical care, unspecified, sequelaCMS: Complication of surgical and medical care, unsp, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue