G97.4
G97.4 — Accidental puncture and laceration of a nervous system organ or structure during a procedure
Non-billable headerICD-10-CM
G97.4 is a non-billable header ICD-10-CM code for accidental puncture and laceration of a nervous system organ or structure during a procedure. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with G97.4
These codes carry an Excludes1 note pointing at G97.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading G97.4 alone.
Risk adjustment
G97.4 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead G97.4
3 child codes. Green means billable.
Related codes at this level
Codes that share G97. If G97.4 is not quite right, the correct code is usually one of these.
- G97.0Cerebrospinal fluid leak from spinal puncture
- G97.1Other reaction to spinal and lumbar puncture
- G97.2Intracranial hypotension following ventricular shunting
- G97.3Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure
- G97.5Postprocedural hemorrhage of a nervous system organ or structure following a procedure
- G97.6Postprocedural hematoma and seroma of a nervous system organ or structure following a procedure
- G97.8Other intraoperative and postprocedural complications and disorders of nervous system
Questions about G97.4
- Is G97.4 a billable ICD-10-CM code?
- No. G97.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does G97.4 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Other disorders of the nervous system (G89-G99).