T80.5 — Anaphylactic reaction due to serum
Is T80.5 billable?
No — T80.5 is a non-billable header code. T80.5 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 9 billable codes beneath T80.5.
Billable codes under this header
- T80.51XAAnaphylactic reaction due to administration of blood and blood products, initial encounter
- T80.51XDAnaphylactic reaction due to administration of blood and blood products, subsequent encounter
- T80.51XSAnaphylactic reaction due to administration of blood and blood products, sequela
- T80.52XAAnaphylactic reaction due to vaccination, initial encounter
- T80.52XDAnaphylactic reaction due to vaccination, subsequent encounter
- T80.52XSAnaphylactic reaction due to vaccination, sequela
- T80.59XAAnaphylactic reaction due to other serum, initial encounter
- T80.59XDAnaphylactic reaction due to other serum, subsequent encounter
- T80.59XSAnaphylactic reaction due to other serum, sequela
T80.5 at a glance
| Code | T80.5 |
|---|---|
| Description | Anaphylactic reaction due to serum |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with T80.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- ABO incompatibility reaction due to transfusion of blood or blood products (T80.3-)
- allergic reaction or shock NOS (T78.2)
- anaphylactic reaction or shock NOS (T78.2)
- anaphylactic reaction or shock due to adverse effect of correct medicinal substance properly administered (T88.6)
- other serum reaction (T80.6-)
Inclusion terms
Alternative wording in documentation that is classified to T80.5.
- Allergic shock due to serum
- Anaphylactic shock due to serum
- Anaphylactoid reaction due to serum
- Anaphylaxis due to serum
Use additional code — inherited from Chapter 19
Report an additional code alongside T80.5 to fully describe the condition. T80.5 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Use additional code — inherited from T80-T88
Report an additional code alongside T80.5 to fully describe the condition. T80.5 is sequenced first.
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T80.5, but a patient may have both at the same time. When documentation supports it, T80.5 and the excluded code may both be reported.
Excludes2 — not included here — inherited from T80-T88
The conditions below are not part of T80.5, but a patient may have both at the same time. When documentation supports it, T80.5 and the excluded code may both be reported.
- 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)
Excludes2 — not included here — inherited from T80
The conditions below are not part of T80.5, but a patient may have both at the same time. When documentation supports it, T80.5 and the excluded code may both be reported.
- bone marrow transplant rejection (T86.01)
- febrile nonhemolytic transfusion reaction (R50.84)
- fluid overload due to transfusion (E87.71)
- posttransfusion purpura (D69.51)
- transfusion associated circulatory overload (TACO) (E87.71)
- transfusion (red blood cell) associated hemochromatosis (E83.111)
- transfusion related acute lung injury (TRALI) (J95.84)
What codes fall under T80.5? (3)
How long has T80.5 existed?
T80.5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with T80.5?
ICD-10-CM declares these codes mutually exclusive with T80.5 — exactly one of each pair can be correct for a given encounter.
What other codes are in the T80 family? (9)
- T80.0Air embolism following infusion, transfusion and therapeutic injectionnot billable
- T80.1Vascular complications following infusion, transfusion and therapeutic injectionnot billable
- T80.2Infections following infusion, transfusion and therapeutic injectionnot billable
- T80.3ABO incompatibility reaction due to transfusion of blood or blood productsnot billable
- T80.4Rh incompatibility reaction due to transfusion of blood or blood productsnot billable
- T80.ANon-ABO incompatibility reaction due to transfusion of blood or blood productsnot billable
- T80.6Other serum reactionsnot billable
- T80.8Other complications following infusion, transfusion and therapeutic injectionnot billable
- T80.9Unspecified complication following infusion, transfusion and therapeutic injectionnot billable