I97.630 — Postprocedural hematoma of a circulatory system organ or structure following a cardiac catheterization
I97.630 is a billable, specific ICD-10-CM code for postprocedural hematoma of a circulatory system organ or structure following a cardiac catheterization. It is valid for submission on a claim.
Risk adjustment
I97.630 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
I97.630 is named in 5 Medicare coverage policies — 5 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
- A57056Billing and Coding: Aortography and Peripheral Angiography
- A57326Billing and Coding: Electrocardiograms
- A57593Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies
How I97.630 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 I97.630.
- Complication›postprocedural›hematoma›circulatory system organ or structure›following cardiac catheterization
Related codes at this level
Codes that share I97.63. If I97.630 is not quite right, the correct code is usually one of these.
Questions about I97.630
- Is I97.630 a billable ICD-10-CM code?
- Yes. I97.630 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I97.630 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).