T81.328Non-billableSave

T81.328 - Disruption or dehiscence of closure of other specified internal operation (surgical) wound

ICD-10-CM Chapter 19: Injury, poisoning and certain other consequences of external causes · T80-T88 Complications of surgical and medical care, not elsewhere classified (T80-T88) · Subcategory of T81.32 · FY2027

Coding Guidance

T81.328 requires a 7th character. Report the code below that matches the documentation, for example A for initial encounter, D for subsequent encounter, S for sequela.

Applicable To

Inclusion terms listed under T81.328 in the ICD-10-CM tabular list.

  • Disruption or dehiscence of closure of muscle or muscle flap (other than abdominal wall muscle)
  • Disruption or dehiscence of closure of ribs or rib cage
  • Disruption or dehiscence of closure of skull or craniotomy
  • Disruption or dehiscence of closure of sternum or sternotomy
  • Disruption or dehiscence of closure of tendon or ligament
  • Disruption or dehiscence of closure of superficial or muscular fascia (other than abdominal wall fascia)
7th Character

The appropriate 7th character is to be added to each code from category T81

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom T81.3

Mutually exclusive: these conditions are never reported together with this code.

  • breakdown (mechanical) of permanent sutures (T85.612)
  • displacement of permanent sutures (T85.622)
  • disruption of cesarean delivery wound (O90.0)
  • disruption of perineal obstetric wound (O90.1)
  • mechanical complication of permanent sutures NEC (T85.692)
Excludes 2 — Not Included HereFrom T81

Not part of this code; report both codes when the patient has both conditions.

  • complications following immunization (T88.0-T88.1)
  • complications following infusion, transfusion and therapeutic injection (T80.-)
  • complications of transplanted organs and tissue (T86.-)
  • specified complications classified elsewhere, such as:
  • complication of prosthetic devices, implants and grafts (T82-T85)
  • dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
  • endosseous dental implant failure (M27.6-)
  • floppy iris syndrome (IFIS) (intraoperative) H21.81
  • intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)
  • ostomy complications (J95.0-, K94.-, N99.5-)
  • plateau iris syndrome (post-iridectomy) (postprocedural) H21.82
  • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)
Use Additional CodeFrom T81

Add a secondary code to identify the associated condition or cause when it is documented.

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Excludes 2 — Not Included HereFrom T80-T88 Complications of surgical and medical care, not elsewhere classified (T80-T88)

Not part of this code; report both codes when the patient has both conditions.

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

Add a secondary code to identify the associated condition or cause when it is documented.

  • 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)
Excludes 2 — Not Included HereFrom Chapter S00-T88

Not part of this code; report both codes when the patient has both conditions.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)
Use Additional CodeFrom Chapter S00-T88

Add a secondary code to identify the associated condition or cause when it is documented.

  • code to identify any retained foreign body, if applicable (Z18.-)
NotesFrom Chapter S00-T88

Instructional notes from the ICD-10-CM tabular list.

  • 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.

Documentation requirements, coding pitfalls and FAQs for conditions coded with T81.328.