I97.42
I97.42: Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure
Billable / specific codeICD-10-CM
I97.42 is a billable, specific ICD-10-CM code for intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure. It is valid for submission on a claim.
Check I97.42 with the rest of the claim: free scrubberExcludes1 inherited from the categories above I97.42
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above I97.42
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
I97.42 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56612Billing and Coding: CT of the Head
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A57593Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies
Alphabetic index entries that lead here
- Complication›intraoperative›hemorrhage›circulatory system organ or structure›during other procedure
Code history
Unchanged in every release from FY2024 to FY2027.