T81.328A — Disruption or dehiscence of closure of other specified internal operation (surgical) wound, initial encounter
Is T81.328A billable?
Yes, but T81.328A is an unspecified code. T81.328A is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, T81.328A is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting T81.328A.
T81.328A at a glance
| Code | T81.328A |
|---|---|
| Description | Disruption or dehiscence of closure of other specified internal operation (surgical) wound, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in T81.328A?
In T81.328A, the 7th character A means initial encounter. The 7th character is required for T81.328A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T81.328A group to?
T81.328A sits in MDC 21 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 919Complications of Treatment with MCCmedical
- 920Complications of Treatment with CCmedical
- 921Complications of Treatment without CC/MCCmedical
As a secondary diagnosis, T81.328A is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is T81.328A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under T81.328, the nearest indexed parent of T81.328A. Use them to find the family, then select the specific code.
- Burst stitches or sutures › internal operation wound (complication of surgery)
- Burst stitches or sutures › internal operation wound › specified NEC (complication of surgery)
- Dehiscence › closure of › craniotomy (of)
- Dehiscence › closure of › fascia (of)
- Dehiscence › closure of › internal organ or tissue (of)
- Dehiscence › closure of › ligament (of)
- Dehiscence › closure of › muscle or muscle flap (of)
- Dehiscence › closure of › ribs or rib cage (of)
Inclusion terms
Alternative wording in documentation that is classified to T81.328A.
- 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)
Excludes1 — never code together — inherited from T81.3
The conditions below can never be reported together with T81.328A on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 19
Report an additional code alongside T81.328A to fully describe the condition. T81.328A 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 T81.328A to fully describe the condition. T81.328A is sequenced first.
Use additional code — inherited from T81
Report an additional code alongside T81.328A to fully describe the condition. T81.328A is sequenced first.
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of T81.328A, but a patient may have both at the same time. When documentation supports it, T81.328A and the excluded code may both be reported.
Excludes2 — not included here — inherited from T80-T88
The conditions below are not part of T81.328A, but a patient may have both at the same time. When documentation supports it, T81.328A 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 T81
The conditions below are not part of T81.328A, but a patient may have both at the same time. When documentation supports it, T81.328A and the excluded code may both be reported.
- 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)
How long has T81.328A existed?
T81.328A first appears in FY2025.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.