ICD-10-CM Codes
I00-I99 Diseases of the circulatory system
I95-I99 Other and unspecified disorders of the circulatory system
I97- Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified
2021 ICD-10-CM Diagnosis Code I97.4

2021 ICD-10-CM Diagnosis Code I97.4

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

2016

2017

2018

2019

2020

2021

Non-Billable/Non-Specific Code

I97.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
Short description: Intraop hemor/hemtom of a circ sys org comp a procedure
The 2021 edition of ICD-10-CM I97.4 became effective on October 1, 2020.
This is the American ICD-10-CM version of I97.4 - other international versions of ICD-10 I97.4 may differ.

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as I97.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

intraoperative hemorrhage and hematoma of a circulatory system organ or structure due to accidental puncture and laceration during a procedure (
ICD-10-CM Diagnosis Code I97.5
Accidental puncture and laceration of a circulatory system organ or structure during a procedure
Type 2 Excludes
- accidental puncture and laceration of brain during a procedure (G97.4-)
I97.5-
)

Type 2 Excludes

Type 2 Excludes Help

A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (I97.4) and the excluded code together.

intraoperative cerebrovascular hemorrhage complicating a procedure (
ICD-10-CM Diagnosis Code G97.3
Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure
Type 1 Excludes
- intraoperative hemorrhage and hematoma of a nervous system organ or structure due to accidental puncture and laceration during a procedure (G97.4-)
G97.3-
)

The following code(s) above I97.4 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to I97.4:

I00-I99
2021 ICD-10-CM Range I00-I99
Diseases of the circulatory system
Type 2 Excludes
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- transient cerebral ischemic attacks and related syndromes (G45.-)
Diseases of the circulatory system
I97
ICD-10-CM Diagnosis Code I97
Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified
Type 2 Excludes
- postprocedural shock (T81.1-)
Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change

Code annotations containing back-references to I97.4:

Type 2 Excludes: T81

ICD-10-CM Diagnosis Code T81
Complications of procedures, not elsewhere classified
Type 2 Excludes
- complications following immunization (T88.0-T88.1)
- complications following infusion, transfusion and therapeutic injection (T80.-)
- complications of transplanted organs and tissue (T86.-)
- specified complications classified elsewhere, such as:
- complication of prosthetic devices, implants and grafts (T82-T85)
- dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
- endosseous dental implant failure (M27.6-)
- floppy iris syndrome (IFIS) (intraoperative) H21.81
- intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)
- ostomy complications (J95.0-, K94.-, N99.5-)
- plateau iris syndrome (post-iridectomy) (postprocedural) H21.82
- poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
Use Additional
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

ICD-10-CM Codes Adjacent To I97.4

I97.120 …… following cardiac surgery

I97.121 …… following other surgery

I97.13 Postprocedural heart failure

I97.130 …… following cardiac surgery

I97.131 …… following other surgery

I97.19 Other postprocedural cardiac functional disturbances

I97.190 …… following cardiac surgery

I97.191 …… following other surgery

I97.2 Postmastectomy lymphedema syndrome

I97.3 Postprocedural hypertension

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

I97.41 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a circulatory system procedure

I97.410 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization

I97.411 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass

I97.418 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure

I97.42 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure

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

I97.51 Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure

I97.52 Accidental puncture and laceration of a circulatory system organ or structure during other procedure

I97.6 Postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following a procedure

I97.61 Postprocedural hemorrhage of a circulatory system organ or structure following a circulatory system procedure

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2021 ICD-10-CM Diagnosis Code I97.4

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

Accidental puncture and laceration of a circulatory system organ or structure during a procedure

Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure

Diseases of the circulatory system

Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified

Complications of procedures, not elsewhere classified