G97.61 — Postprocedural hematoma of a nervous system organ or structure following a nervous system procedure
G97.61 is a billable, specific ICD-10-CM code for postprocedural hematoma of a nervous system organ or structure following a nervous system procedure. It is valid for submission on a claim.
Risk adjustment
G97.61 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.
Medicare coverage
G97.61 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56612Billing and Coding: CT of the Head
How G97.61 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to G97.61.
- Complication›postprocedural›hematoma›nervous system›following nervous system procedure
Related codes at this level
Codes that share G97.6. If G97.61 is not quite right, the correct code is usually one of these.
Questions about G97.61
- Is G97.61 a billable ICD-10-CM code?
- Yes. G97.61 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G97.61 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Other disorders of the nervous system (G89-G99).