Excludes1 pair

T79.4- vs T81-

T79.4 and T81 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on T79.4
postprocedural shock (T81.1-)
T79.4

Traumatic shock

Not billable
Chapter 19
Injury, poisoning and certain other consequences of external causes
Section
T79
Use when the record says
  • Shock (immediate) (delayed) following injury
Indexed under
  • Feeble rapid pulse due to shock following injury
  • Decrease › respiration, due to shock following injury
  • Hypovolemia › traumatic (shock)
  • Pulse › feeble, rapid due to shock following injury
  • Rapid › feeble pulse, due to shock, following injury
T81

Complications of procedures, not elsewhere classified

Not billable
Chapter 19
Injury, poisoning and certain other consequences of external causes
Section
T80-T88

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027