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2025 ICD-10-CM code I97.4

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

Do not use this code for hemorrhage or hematoma due to accidental puncture or laceration during a procedure (I97.5-) or for intraoperative cerebrovascular hemorrhage complicating a procedure (G97.3-).

The medical necessity for I97.4 is established by the fact that it represents a complication of a medically necessary procedure. The documentation should support the medical necessity of the original procedure.

In simple words: Bleeding and bruising within an organ of the circulatory system, like the heart or blood vessels during a medical operation.

Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure. Excludes1: intraoperative hemorrhage and hematoma of a circulatory system organ or structure due to accidental puncture and laceration during a procedure (I97.5-) Excludes2: intraoperative cerebrovascular hemorrhage complicating a procedure (G97.3-)

Example 1: A patient undergoing a coronary artery bypass graft (CABG) experiences bleeding from the graft site during the procedure., During a heart valve replacement surgery, a hematoma forms around the aorta, requiring intervention., A patient undergoing peripheral artery angioplasty experiences bleeding at the access site in the groin during the operation.

Documentation should clearly indicate that the hemorrhage or hematoma occurred during the procedure and is related to a circulatory system organ or structure. The specific organ or structure involved should be documented, as well as the procedure being performed when the complication occurred.

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