Is I97.4 a billable ICD-10-CM code?

No. I97.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I97.4 sit in the tabular list?

Diseases of the circulatory system (I00-I99), in the block Other and unspecified disorders of the circulatory system (I95-I99).

What cannot be coded together with I97.4?

I97.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

I97.4

I97.4 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure

Non-billable headerICD-10-CM

I97.4 is a non-billable header ICD-10-CM code for intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

intraoperative hemorrhage and hematoma of a circulatory system organ or structure due to accidental puncture and laceration during a procedure (I97.5-)

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

intraoperative cerebrovascular hemorrhage complicating a procedure (G97.3-)

Risk adjustment

I97.4 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 I97.4

2 child codes. Green means billable.

Related codes at this level

Codes that share I97. If I97.4 is not quite right, the correct code is usually one of these.

Questions about I97.4

Is I97.4 a billable ICD-10-CM code?: No. I97.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I97.4 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Other and unspecified disorders of the circulatory system (I95-I99).
What cannot be coded together with I97.4?: I97.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.