Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure
ICD-10 G97.32 is a billable code used to indicate a diagnosis of intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure.
Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedures can occur during various surgical interventions involving the nervous system, such as craniotomies, spinal surgeries, or procedures involving the brain or spinal cord. This complication can lead to significant morbidity, including pain syndromes, autonomic disorders, and hydrocephalus. Pain syndromes may arise from nerve damage or irritation due to hematoma formation, while autonomic disorders can manifest as dysregulation of bodily functions controlled by the autonomic nervous system. Hydrocephalus may develop if the hemorrhage obstructs cerebrospinal fluid pathways, leading to increased intracranial pressure. The management of these complications often requires additional surgical interventions, such as evacuation of the hematoma or placement of a shunt to relieve pressure. Accurate coding of G97.32 is essential for proper reimbursement and tracking of surgical outcomes, as it reflects the complexity and risks associated with neurosurgical procedures.
Detailed operative reports, including descriptions of intraoperative findings, complications, and management strategies.
Craniotomy for tumor resection with subsequent hematoma formation; spinal surgery with intraoperative bleeding.
Ensure clear documentation of the relationship between the procedure and the complication to support coding.
Anesthesia records detailing intraoperative events, including any hemodynamic changes related to hemorrhage.
Management of blood pressure fluctuations during neurosurgical procedures; monitoring for signs of intraoperative hemorrhage.
Anesthesia documentation should correlate with surgical findings to support claims for complications.
Used when a patient experiences intraoperative hemorrhage during tumor resection.
Operative report detailing the procedure, any complications, and management of hemorrhage.
Neurosurgeons should document the extent of hemorrhage and any interventions performed.
Documentation must include a detailed operative report that describes the intraoperative hemorrhage, its management, and any impact on the patient's condition. It should also link the complication to the primary procedure performed.
