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2025 ICD-10-CM code I97.5

Accidental puncture and laceration of a circulatory system organ or structure during a procedure.

Code I97.5 should only be used when the puncture or laceration occurs during a procedure. It should not be used for complications arising after the procedure has been completed.

The medical necessity for the treatment of the accidental puncture and laceration is inherent in the situation, as it represents a complication of a medically necessary procedure.

The physician performing the procedure during which the accidental puncture and laceration occurred is responsible for documenting and reporting this complication.

In simple words: Accidental puncture or cut to a part of the circulatory system, such as a blood vessel or the heart, that happens during a medical procedure.

Accidental puncture and laceration of a circulatory system organ or structure during a procedure. This code excludes accidental puncture and laceration of brain during a procedure (G97.4-) and postprocedural shock (T81.1-).

Example 1: A patient undergoing a cardiac catheterization experiences an accidental puncture of the femoral artery., During a central venous catheter insertion, the subclavian vein is accidentally lacerated., A patient undergoing a laparoscopic cholecystectomy experiences an accidental puncture of the inferior vena cava.

Documentation should clearly indicate the organ or structure of the circulatory system that was punctured or lacerated, the procedure during which the complication occurred, and any associated treatment provided.

** This code describes a complication that occurs during a procedure. It's crucial to distinguish it from post-procedural complications, which would be coded differently.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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