G97.49

G97.49: Accidental puncture and laceration of other nervous system organ or structure during other procedure

Billable / specific codeICD-10-CM

G97.49 is a billable, specific ICD-10-CM code for accidental puncture and laceration of other nervous system organ or structure during other procedure. It is valid for submission on a claim.

Check G97.49 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above G97.49

Not part of this code, but both may be coded when both are present.

Written on G97: Intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified

intraoperative and postprocedural cerebrovascular infarction (I97.81-, I97.82-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

G97.49 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56697Billing and Coding: Non-Invasive Vascular Studies
A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Alphabetic index entries that lead here

Complication›intraoperative›puncture or laceration›brain›during other procedure
Complication›intraoperative›puncture or laceration›nervous system›during other procedure

Code history

Unchanged in every release from FY2024 to FY2027.