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ICD-10 Guide
ICD-10 CodesChapter 9: Diseases of the circulatory systemI97

I97

Non-billable

Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified

Chapter 9:Diseases of the circulatory system

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

Code Description

ICD-10 I97 is a used to indicate a diagnosis of intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified.

Key Diagnostic Point:

The ICD-10 Level 1 Category code I97 encompasses a range of intraoperative and postprocedural complications and disorders specifically related to the circulatory system that are not classified elsewhere. This category is significant as it captures complications that may arise during or after surgical procedures, which can include issues such as hemorrhage, thrombosis, or other cardiovascular events that are directly linked to surgical interventions. These complications can have serious implications for patient outcomes, necessitating careful monitoring and management by healthcare providers.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of complications covered
  • Need for precise documentation
  • Potential for overlapping codes

Audit Risk Factors

  • Inadequate documentation of complications
  • Misclassification of complications
  • Failure to report related procedures

Specialty Focus

Medical Specialties

Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Cardiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the I97 code category is significant, as it directly relates to patient safety and quality of care. Accurate coding of intraoperative and postprocedural complications can influence quality measures and performance metrics, impacting reimbursement and hospital ratings. Furthermore, understanding the trends associated with these complications can help healthcare organizations improve surgical protocols and patient management strategies, ultimately enhancing population health outcomes.

ICD-9 vs ICD-10

The clinical and administrative impact of the I97 code category is significant, as it directly relates to patient safety and quality of care. Accurate coding of intraoperative and postprocedural complications can influence quality measures and performance metrics, impacting reimbursement and hospital ratings. Furthermore, understanding the trends associated with these complications can help healthcare organizations improve surgical protocols and patient management strategies, ultimately enhancing population health outcomes.

Reimbursement & Billing Impact

reimbursement and hospital ratings. Furthermore, understanding the trends associated with these complications can help healthcare organizations improve surgical protocols and patient management strategies, ultimately enhancing population health outcomes.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for I97

Coding & Billing References

  • •
    Official ICD-10 Guidelines for I97

Frequently Asked Questions

What conditions are included in I97?

I97 includes complications such as intraoperative hemorrhage, postoperative thrombosis, and other circulatory system disorders that occur as a direct result of surgical procedures. It does not cover complications that are classified under other specific codes.

When should I use I97 codes?

I97 codes should be used when documenting complications that arise during or after surgical procedures affecting the circulatory system, particularly when these complications are not adequately described by other specific codes.

What documentation is required for I97?

Documentation for I97 should include detailed descriptions of the surgical procedure performed, the nature of the complications encountered, and any relevant clinical findings or interventions undertaken to address these complications.