T88.6XXA — Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered, initial encounter
Is T88.6XXA billable?
Yes — T88.6XXA is billable for FY2027. T88.6XXA is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. T88.6XXA may be submitted for encounters from October 1, 2026 through September 30, 2027.
T88.6XXA at a glance
| Code | T88.6XXA |
|---|---|
| Description | Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered, 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 T88.6XXA?
In T88.6XXA, the 7th character A means initial encounter. The 7th character is required for T88.6XXA to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does T88.6XXA group to?
T88.6XXA sits in MDC 21 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 915Allergic Reactions with MCCmedical
- 916Allergic Reactions without MCCmedical
As a secondary diagnosis, T88.6XXA is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is T88.6XXA listed in the Alphabetic Index?
The Alphabetic Index lists these routes under T88.6, the nearest indexed parent of T88.6XXA. Use them to find the family, then select the specific code.
- Shock › drug › due to correct substance properly administered
- Allergy, allergic › shock › due to › adverse effect of correct medicinal substance properly administered (reaction) (to)
- Shock › anaphylactic › due to drug or medicinal substance › correct substance properly administered
Excludes1 — never code together
The conditions below can never be reported together with T88.6XXA 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
Report an additional code alongside T88.6XXA to fully describe the condition. T88.6XXA is sequenced first.
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Inclusion terms
Alternative wording in documentation that is classified to T88.6XXA.
- Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
- Anaphylactoid reaction NOS
Excludes1 — never code together — inherited from T88.6
The conditions below can never be reported together with T88.6XXA 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 T88.6XXA to fully describe the condition. T88.6XXA 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 T88.6XXA to fully describe the condition. T88.6XXA is sequenced first.
Use additional code — inherited from T88.6
Report an additional code alongside T88.6XXA to fully describe the condition. T88.6XXA 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 T88.6XXA, but a patient may have both at the same time. When documentation supports it, T88.6XXA and the excluded code may both be reported.
Excludes2 — not included here — inherited from T80-T88
The conditions below are not part of T88.6XXA, but a patient may have both at the same time. When documentation supports it, T88.6XXA 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 T88
The conditions below are not part of T88.6XXA, but a patient may have both at the same time. When documentation supports it, T88.6XXA and the excluded code may both be reported.
- complication following infusion, transfusion and therapeutic injection (T80.-)
- complication following procedure NEC (T81.-)
- complications of anesthesia in labor and delivery (O74.-)
- complications of anesthesia in pregnancy (O29.-)
- complications of anesthesia in puerperium (O89.-)
- complications of devices, implants and grafts (T82-T85)
- complications of obstetric surgery and procedure (O75.4)
- dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)
- specified complications classified elsewhere
How long has T88.6XXA existed?
T88.6XXA 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.