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v1.0.0
ICD-10 Guide
ICD-10 CodesG97.62

G97.62

Billable

Postprocedural hematoma of a nervous system organ or structure following other procedure

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

Code Description

ICD-10 G97.62 is a billable code used to indicate a diagnosis of postprocedural hematoma of a nervous system organ or structure following other procedure.

Key Diagnostic Point:

Postprocedural hematoma of a nervous system organ or structure refers to the accumulation of blood within or around the nervous system structures following a surgical or invasive procedure. This condition can arise from various interventions, including neurosurgery, spinal surgery, or even diagnostic procedures such as lumbar punctures. The hematoma can lead to increased intracranial pressure, neurological deficits, and pain syndromes, depending on its location and size. Patients may present with symptoms such as headache, altered consciousness, motor weakness, or sensory changes. Autonomic disorders may also manifest due to the disruption of normal neural pathways. In some cases, the hematoma can lead to complications such as hydrocephalus, where cerebrospinal fluid (CSF) flow is obstructed, necessitating further intervention. Accurate diagnosis and timely management are crucial to prevent long-term neurological damage.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of procedures that can lead to hematoma formation
  • Potential for overlapping symptoms with other neurological conditions
  • Need for precise documentation of the procedure performed
  • Variability in clinical presentation based on hematoma location

Audit Risk Factors

  • Inadequate documentation of the procedure leading to the hematoma
  • Failure to specify the location of the hematoma
  • Misclassification of the hematoma as a primary diagnosis
  • Lack of follow-up documentation regarding the patient's condition

Specialty Focus

Medical Specialties

Neurosurgery

Documentation Requirements

Detailed operative reports, including the type of procedure, any intraoperative complications, and postoperative care.

Common Clinical Scenarios

Postoperative patients presenting with headache or neurological deficits after craniotomy or spinal surgery.

Billing Considerations

Ensure clear documentation of the surgical procedure and any immediate postoperative complications.

Neurology

Documentation Requirements

Comprehensive neurological assessments, imaging studies, and follow-up evaluations.

Common Clinical Scenarios

Patients with new-onset neurological symptoms following a diagnostic lumbar puncture or other non-surgical interventions.

Billing Considerations

Document the timeline of symptom onset in relation to the procedure performed.

Coding Guidelines

Inclusion Criteria

Use G97.62 When
  • According to ICD
  • 10 coding guidelines, G97
  • 62 should be used when a hematoma occurs as a direct result of a procedure not classified under neurosurgery
  • Coders must ensure that the procedure is documented clearly and that the hematoma is confirmed through imaging or clinical evaluation

Exclusion Criteria

Do NOT use G97.62 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

62270CPT Code

Lumbar puncture

Clinical Scenario

Used when a patient presents with a hematoma after a lumbar puncture.

Documentation Requirements

Document the indication for the procedure and any complications noted during or after the procedure.

Specialty Considerations

Neurology specialists should ensure that the procedure's risks are communicated to the patient.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of postprocedural complications, improving the accuracy of data collection and reimbursement processes. G97.62 provides a clear distinction for hematomas resulting from non-neurosurgical procedures, enhancing clinical understanding and management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of postprocedural complications, improving the accuracy of data collection and reimbursement processes. G97.62 provides a clear distinction for hematomas resulting from non-neurosurgical procedures, enhancing clinical understanding and management.

Reimbursement & Billing Impact

reimbursement processes. G97.62 provides a clear distinction for hematomas resulting from non-neurosurgical procedures, enhancing clinical understanding and management.

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 are the common causes of postprocedural hematoma?

Common causes include surgical trauma to blood vessels, anticoagulant therapy, and inadequate hemostasis during or after a procedure.

How can postprocedural hematomas be managed?

Management may involve observation, imaging to assess size and impact, and surgical intervention if the hematoma is large or symptomatic.