I97.5

I97.5: Accidental puncture and laceration of a circulatory system organ or structure during a procedure

Non-billable headerICD-10-CM

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-)

Excludes2 inherited from the categories above I97.5

Not part of this code, but both may be coded when both are present.

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

postprocedural shock (T81.1-)

Other codes that can never be billed with I97.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead I97.5

2 child codes. Green means billable.