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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 6: Diseases of the nervous systemG97

G97

Billable

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

Chapter 6:Diseases of the nervous system

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G97 is a billable code used to indicate a diagnosis of intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified.

Key Diagnostic Point:

G97 encompasses a range of complications and disorders that arise during or after surgical procedures involving the nervous system. These may include pain syndromes such as post-surgical neuropathic pain, which can occur due to nerve damage or irritation during surgery. Autonomic disorders may manifest as dysautonomia, where the autonomic nervous system fails to regulate bodily functions properly, leading to symptoms like abnormal heart rate or blood pressure. Hydrocephalus, characterized by an accumulation of cerebrospinal fluid within the ventricles of the brain, can also develop postoperatively, particularly after neurosurgical interventions. Other nervous system disorders classified under G97 may include infections, hematomas, or cerebrovascular accidents that occur as a direct result of surgical procedures. Accurate coding requires a thorough understanding of the patient's surgical history and the specific complications that arise, as these can significantly impact treatment and recovery outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential complications that can arise post-surgery
  • Need for detailed surgical history and documentation
  • Differentiation between complications and pre-existing conditions
  • Variability in clinical presentation of disorders

Audit Risk Factors

  • Inadequate documentation of surgical procedures
  • Failure to specify the nature of complications
  • Misidentification of complications as pre-existing conditions
  • Lack of follow-up documentation on patient outcomes

Specialty Focus

Medical Specialties

Neurosurgery

Documentation Requirements

Detailed operative reports, postoperative notes, and follow-up assessments are essential for accurate coding.

Common Clinical Scenarios

Postoperative complications such as infection, hematoma, or neurological deficits following craniotomy or spinal surgery.

Billing Considerations

Documentation must clearly differentiate between complications arising from the procedure and pre-existing conditions.

Pain Management

Documentation Requirements

Comprehensive pain assessments and treatment plans, including any interventions performed post-surgery.

Common Clinical Scenarios

Management of chronic pain syndromes that develop after surgical interventions on the nervous system.

Billing Considerations

Accurate coding requires correlation between pain symptoms and specific surgical procedures.

Coding Guidelines

Inclusion Criteria

Use G97 When
  • According to official coding guidelines, G97 should be used when complications are directly related to surgical procedures on the nervous system and are not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that the complications are clearly linked to the surgical intervention

Exclusion Criteria

Do NOT use G97 When
No specific exclusions found.

Related CPT Codes

62263CPT Code

Lumbar puncture

Clinical Scenario

Used to relieve pressure in cases of post-surgical hydrocephalus.

Documentation Requirements

Document indication for procedure and any complications noted.

Specialty Considerations

Neurosurgeons must document the rationale for lumbar puncture in the context of surgical history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of complications arising from surgical procedures, enhancing the ability to track and manage postoperative outcomes. G97 provides a distinct classification for complications that were previously less clearly defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications arising from surgical procedures, enhancing the ability to track and manage postoperative outcomes. G97 provides a distinct classification for complications that were previously less clearly defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of complications arising from surgical procedures, enhancing the ability to track and manage postoperative outcomes. G97 provides a distinct classification for complications that were previously less clearly defined in ICD-9.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of complications are included under G97?

G97 includes a variety of complications such as pain syndromes, autonomic disorders, hydrocephalus, infections, and hematomas that arise during or after surgical procedures on the nervous system.