Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure
ICD-10 G97.3 is a billable code used to indicate a diagnosis of intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure.
Intraoperative hemorrhage and hematoma of a nervous system organ or structure refers to bleeding or the accumulation of blood within the nervous system during a surgical procedure. This complication can arise from various factors, including surgical trauma, vascular injury, or coagulopathy. The presence of intraoperative hemorrhage can lead to significant morbidity, including pain syndromes, autonomic dysfunction, and hydrocephalus. Pain syndromes may manifest as acute or chronic pain due to nerve damage or irritation from hematomas. Autonomic disorders can occur if the hemorrhage affects areas of the brain responsible for autonomic regulation, leading to symptoms such as abnormal heart rate, blood pressure fluctuations, or gastrointestinal disturbances. Hydrocephalus may develop if the hemorrhage obstructs cerebrospinal fluid pathways, resulting in increased intracranial pressure. Accurate coding of G97.3 is crucial for reflecting the complexity of the patient's condition and ensuring appropriate management and follow-up care.
Detailed operative notes describing the procedure, any complications encountered, and the management of those complications.
Surgical resection of brain tumors, spinal surgeries, and procedures involving vascular malformations.
Ensure clear documentation of the extent of hemorrhage and any interventions performed to manage it.
Anesthesia records detailing intraoperative monitoring and any complications related to hemodynamic stability.
Management of anesthesia during neurosurgical procedures with potential for significant blood loss.
Document any autonomic responses or complications that arise during the procedure.
Used when a patient experiences intraoperative hemorrhage during tumor resection.
Operative report detailing the procedure and any complications.
Neurosurgeons should document any intraoperative findings related to hemorrhage.
Coding G97.3 accurately reflects the complexity of intraoperative complications in the nervous system, which is crucial for patient management and healthcare analytics.