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v1.0.0
ICD-10 Guide
ICD-10 CodesG97.3

G97.3

Billable

Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure

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

Code Description

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.

Key Diagnostic Point:

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.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between intraoperative and postoperative complications
  • Understanding the specific nervous system structures involved
  • Identifying the underlying cause of hemorrhage
  • Documenting the extent of the hemorrhage and its clinical implications

Audit Risk Factors

  • Inadequate documentation of the surgical procedure
  • Failure to specify the location of the hemorrhage
  • Lack of clarity on the clinical impact of the hemorrhage
  • Misclassification of the type of hemorrhage (e.g., intraoperative vs. postoperative)

Specialty Focus

Medical Specialties

Neurosurgery

Documentation Requirements

Detailed operative notes describing the procedure, any complications encountered, and the management of those complications.

Common Clinical Scenarios

Surgical resection of brain tumors, spinal surgeries, and procedures involving vascular malformations.

Billing Considerations

Ensure clear documentation of the extent of hemorrhage and any interventions performed to manage it.

Anesthesiology

Documentation Requirements

Anesthesia records detailing intraoperative monitoring and any complications related to hemodynamic stability.

Common Clinical Scenarios

Management of anesthesia during neurosurgical procedures with potential for significant blood loss.

Billing Considerations

Document any autonomic responses or complications that arise during the procedure.

Coding Guidelines

Inclusion Criteria

Use G97.3 When
  • According to ICD
  • 10 guidelines, G97
  • 3 should be used when there is clear documentation of intraoperative hemorrhage or hematoma specifically affecting a nervous system organ or structure
  • It is essential to differentiate this from postoperative complications

Exclusion Criteria

Do NOT use G97.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61510CPT Code

Craniotomy, for excision of brain tumor

Clinical Scenario

Used when a patient experiences intraoperative hemorrhage during tumor resection.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Neurosurgeons should document any intraoperative findings related to hemorrhage.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of intraoperative complications, improving the ability to track and manage these events. G97.3 provides a clear designation for intraoperative hemorrhage in the nervous system, enhancing clinical data accuracy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of intraoperative complications, improving the ability to track and manage these events. G97.3 provides a clear designation for intraoperative hemorrhage in the nervous system, enhancing clinical data accuracy.

Reimbursement & Billing Impact

reimbursement.

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 is the significance of coding G97.3?

Coding G97.3 accurately reflects the complexity of intraoperative complications in the nervous system, which is crucial for patient management and healthcare analytics.