Postprocedural hematoma of a nervous system organ or structure following a nervous system procedure
ICD-10 G97.61 is a billable code used to indicate a diagnosis of postprocedural hematoma of a nervous system organ or structure following a nervous system procedure.
Postprocedural hematoma of a nervous system organ or structure refers to the accumulation of blood in or around the nervous system structures following a surgical or invasive procedure. This condition can arise from various interventions, including neurosurgery, spinal surgery, or other procedures involving the central or peripheral nervous system. The hematoma can lead to increased intracranial pressure, neurological deficits, and pain syndromes, which may manifest as headaches, localized pain, or radicular pain depending on the location of the hematoma. Autonomic disorders may also arise due to disruption of the autonomic pathways, leading to symptoms such as changes in heart rate, blood pressure, and gastrointestinal function. In severe cases, postprocedural hematomas can contribute to hydrocephalus, where cerebrospinal fluid (CSF) flow is obstructed, necessitating further intervention. Accurate diagnosis and management are crucial to prevent complications and ensure optimal recovery.
Detailed operative reports, imaging studies, and post-operative notes are essential.
Postoperative complications following craniotomy or spinal surgery.
Ensure that the relationship between the procedure and the hematoma is clearly documented.
Comprehensive neurological assessments and follow-up notes.
Management of neurological deficits or pain syndromes post-surgery.
Document any autonomic dysfunction or hydrocephalus that may arise.
Used when a patient presents with a hematoma requiring surgical intervention.
Operative report detailing the procedure and indication for drainage.
Neurosurgeons must document the extent of the hematoma and any neurological deficits.
Common symptoms include headaches, localized pain, neurological deficits, and signs of increased intracranial pressure such as nausea and vomiting.
G97.61 specifically relates to hematomas following a nervous system procedure, while other codes may pertain to traumatic or spontaneous hematomas.
