Is I97.411 a billable ICD-10-CM code?

Yes. I97.411 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does I97.411 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 I97.411?

I97.411 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above I97.411 (I97.4) and apply to it just the same.

I97.411

I97.411 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass

Billable / specific codeICD-10-CM

I97.411 is a billable, specific ICD-10-CM code for intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass. It is valid for submission on a claim.

Excludes1 inherited from the categories above I97.411

These are not written on I97.411, but they bind it: a note on a category applies to every code beneath it. Billing I97.411 with anything listed here is a denial.

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

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

Excludes2 inherited from the categories above I97.411

Also inherited, and the opposite of Excludes1: these conditions are not part of I97.411, but a patient can have both, so you may code both.

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

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

Written on I97 — Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified

postprocedural shock (T81.1-)

Risk adjustment

I97.411 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

I97.411 is named in 4 Medicare coverage policies — 4 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
A56697Billing and Coding: Non-Invasive Vascular Studies
A57594Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

How I97.411 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 I97.411.

Complication›intraoperative›hemorrhage›circulatory system organ or structure›during cardiac bypass

Code history

I97.411 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share I97.41. If I97.411 is not quite right, the correct code is usually one of these.

Questions about I97.411

Is I97.411 a billable ICD-10-CM code?: Yes. I97.411 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I97.411 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 I97.411?: I97.411 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above I97.411 (I97.4) and apply to it just the same.