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ICD-10 Guide
ICD-10 CodesG97.5

G97.5

Billable

Postprocedural hemorrhage of a nervous system organ or structure following a procedure

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

Code Description

ICD-10 G97.5 is a billable code used to indicate a diagnosis of postprocedural hemorrhage of a nervous system organ or structure following a procedure.

Key Diagnostic Point:

Postprocedural hemorrhage of a nervous system organ or structure refers to bleeding that occurs in the central or peripheral nervous system following a surgical or invasive procedure. This condition can arise from various interventions, including neurosurgery, spinal surgery, or other procedures involving the nervous system. The hemorrhage can lead to complications such as increased intracranial pressure, hydrocephalus, or neurological deficits, depending on the location and extent of the bleeding. Patients may present with symptoms such as headache, altered consciousness, focal neurological deficits, or signs of increased intracranial pressure. The management of postprocedural hemorrhage often requires prompt medical intervention, including imaging studies to assess the extent of the hemorrhage and potential surgical intervention to evacuate the hematoma or manage complications. Understanding the implications of this code is crucial for accurate documentation and coding, as it reflects the complexity of post-surgical care in neurology and neurosurgery.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of procedures leading to hemorrhage
  • Potential for multiple complications
  • Need for detailed documentation of symptoms and interventions
  • Differentiation from other types of hemorrhage

Audit Risk Factors

  • Inadequate documentation of the procedure performed
  • Failure to document the onset and severity of symptoms
  • Lack of imaging studies to support diagnosis
  • Misclassification of the type of hemorrhage

Specialty Focus

Medical Specialties

Neurosurgery

Documentation Requirements

Detailed operative notes, imaging results, and post-operative assessments are essential.

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 post-operative complications.

Neurology

Documentation Requirements

Comprehensive neurological assessments and follow-up notes detailing symptom progression.

Common Clinical Scenarios

Patients with sudden onset of neurological symptoms following a diagnostic lumbar puncture or other interventions.

Billing Considerations

Document any pre-existing conditions that may influence the patient's recovery and symptomatology.

Coding Guidelines

Inclusion Criteria

Use G97.5 When
  • According to ICD
  • 10 coding guidelines, G97
  • 5 should be used when there is clear documentation of hemorrhage following a procedure
  • It is important to ensure that the hemorrhage is directly related to the procedure and not due to other underlying conditions

Exclusion Criteria

Do NOT use G97.5 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 develops postprocedural hemorrhage after tumor resection.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Neurosurgeons should document any intraoperative bleeding and post-operative assessments.

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. G97.5 provides a clear framework for identifying and managing complications related to surgical interventions in the nervous system.

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. G97.5 provides a clear framework for identifying and managing complications related to surgical interventions in the nervous system.

Reimbursement & Billing Impact

reimbursement processes. G97.5 provides a clear framework for identifying and managing complications related to surgical interventions in the nervous system.

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 types of procedures can lead to G97.5?

G97.5 can result from various procedures, including craniotomies, spinal surgeries, and lumbar punctures, where there is a risk of bleeding into the nervous system.