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2025 ICD-10-CM code N99.62

Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a procedure on another organ.

Do not use this code if the hemorrhage or hematoma is due to accidental puncture or laceration during a procedure (N99.7-).It also should not be used if the complication occurs during a procedure directly involving the genitourinary system (N99.61). Ensure that the documentation supports the occurrence of the complication during an unrelated procedure.

The medical necessity of addressing the intraoperative hemorrhage and hematoma is inherent in the situation. The primary procedure necessitates appropriate management of any complications arising during the procedure to ensure patient safety and positive surgical outcomes.

The physician performing the unrelated surgical procedure is responsible for documenting and addressing the intraoperative hemorrhage and hematoma of the genitourinary system. This includes controlling the bleeding, evacuating the hematoma if necessary, and ensuring the patient's stability before, during, and after the procedure.They should also consult with a urologist or other appropriate specialist if the complication is severe or requires specialized care.

In simple words: Bleeding and bruising of the urinary or reproductive organs during a surgery on a different organ.

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

Example 1: A patient undergoing a colon resection experiences bleeding from the kidney during the procedure. This is coded as N99.62., A patient undergoing a hysterectomy experiences a hematoma of the bladder. This is coded as N99.62., During an appendectomy, the ureter is accidentally injured, leading to both bleeding and hematoma formation. This would be coded as N99.62. However, if the injury involved a puncture or laceration, it would be coded differently (N99.7-).

Documentation should clearly indicate the occurrence of hemorrhage and/or hematoma of a genitourinary organ or structure during a surgical procedure unrelated to the genitourinary system. The documentation must specify the organ involved (kidney, ureter, bladder, etc.), the associated procedure during which it occurred, and the treatment provided for the complication.Operative notes and any consultations with specialists like urologists should be included.

** It's important to differentiate between N99.61 (complication during a genitourinary procedure) and N99.62 (complication during another procedure).Also distinguish it from accidental punctures or lacerations (N99.7-), which have specific codes.

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