Accidental puncture and laceration of other nervous system organ or structure during other procedure
ICD-10 G97.49 is a billable code used to indicate a diagnosis of accidental puncture and laceration of other nervous system organ or structure during other procedure.
G97.49 refers to the accidental puncture or laceration of nervous system organs or structures that occur during a medical procedure not specifically aimed at the nervous system. This can include complications arising from surgeries or interventions involving adjacent anatomical structures. Such injuries may lead to various complications, including pain syndromes, autonomic disorders, or even hydrocephalus, depending on the location and severity of the injury. For instance, if a surgical procedure inadvertently damages a nerve root, the patient may experience neuropathic pain or motor deficits. Additionally, if the injury affects the central nervous system, it could result in autonomic dysfunction, manifesting as changes in heart rate, blood pressure, or gastrointestinal motility. The management of these complications often requires multidisciplinary approaches, including pain management, neurology consultations, and possibly further surgical interventions to address the resultant conditions.
Detailed operative notes describing the procedure, any complications, and the management of those complications.
Accidental nerve root injury during spinal surgery or laceration of brain tissue during craniotomy.
Ensure clear documentation of the surgical approach and any intraoperative findings that led to the injury.
Comprehensive pain assessments and treatment plans that address the complications arising from the injury.
Management of neuropathic pain following accidental nerve injury.
Document the relationship between the procedure and the onset of pain symptoms for accurate coding.
Used in conjunction with G97.49 when a nerve root injury occurs during spinal surgery.
Operative report detailing the procedure and any complications.
Neurosurgeons must document any intraoperative findings that led to the injury.
Documentation must include a detailed operative report that describes the procedure, the accidental nature of the injury, and any subsequent management or complications that arise from the injury.
