I97.5 — Accidental puncture and laceration of a circulatory system organ or structure during a procedure
I97.5 is a non-billable header ICD-10-CM code for accidental puncture and laceration of a circulatory system organ or structure during a procedure. It cannot be billed on its own: choose one of the more specific child codes below.
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.
- accidental puncture and laceration of brain during a procedure (G97.4-)
Other codes that can never be billed with I97.5
These codes carry an Excludes1 note pointing at I97.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I97.5 alone.
- I97.4Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure
Risk adjustment
I97.5 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 I97.5
2 child codes. Green means billable.
Related codes at this level
Codes that share I97. If I97.5 is not quite right, the correct code is usually one of these.
- I97.0Postcardiotomy syndrome
- I97.1Other postprocedural cardiac functional disturbances
- I97.2Postmastectomy lymphedema syndrome
- I97.3Postprocedural hypertension
- I97.4Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure
- I97.6Postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following a procedure
- I97.7Intraoperative cardiac functional disturbances
- I97.8Other intraoperative and postprocedural complications and disorders of the circulatory system, not elsewhere classified
Questions about I97.5
- Is I97.5 a billable ICD-10-CM code?
- No. I97.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does I97.5 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).