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-)
Excludes2 inherited from the categories above I97.5
Also inherited, and the opposite of Excludes1: these conditions are not part of I97.5, but a patient can have both, so you may code both.
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 history
I97.5 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
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).