2025 ICD-10-CM code N99.61
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the genitourinary system - Intraoperative complications, not elsewhere classified Diseases of the genitourinary system (N00-N99) Feed
Intraoperative hemorrhage and hematoma of a genitourinary organ or structure complicating a genitourinary system procedure.
Modifiers may be applicable depending on the circumstances of the procedure and the extent of the complication.Consult the AMA CPT and your local payer guidelines.
The medical necessity is established by the occurrence of hemorrhage or hematoma during a genitourinary procedure, necessitating additional interventions to control bleeding or manage the hematoma, often impacting the length of the surgery or procedure.
The clinical responsibility for this code falls upon the surgeon or physician performing the genitourinary procedure.Their duties include appropriate surgical technique to minimize the risk of hemorrhage and hematoma, prompt recognition and management of any bleeding, and appropriate documentation to support accurate medical billing.
- Diseases of the genitourinary system (N00-N99)
- N99 (Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified)
In simple words: This code describes bleeding or a blood clot that happens during a surgery or procedure on the urinary or reproductive organs.
This ICD-10-CM code classifies intraoperative hemorrhage (bleeding) and hematoma (blood clot) formation within a genitourinary system organ or structure that occurs as a complication during a genitourinary system procedure.The code specifically applies when the bleeding or hematoma is directly related to the surgical or procedural intervention and not due to other causes.Accurate coding requires precise documentation of the procedure performed and the location and nature of the bleeding or hematoma.
Example 1: During a radical prostatectomy, significant bleeding occurs from the prostatic bed requiring surgical intervention to control the hemorrhage.The bleeding is directly related to the surgical manipulation of the prostate gland., A patient undergoing a hysterectomy experiences a uterine artery bleed during the procedure, necessitating additional surgical steps to achieve hemostasis. This complication directly stems from the hysterectomy., In a laparoscopic nephrectomy, a small hematoma forms at the site of the renal pedicle ligation after the resection of the kidney, this hematoma is directly related to the surgical procedure.
* Operative report detailing the procedure performed.* Location of the hemorrhage or hematoma.* Description of any interventions undertaken to control bleeding.* Amount of blood loss (if documented).* Any imaging findings (e.g., ultrasound, CT scan) to confirm the presence and extent of hemorrhage or hematoma.
** Accurate documentation is critical for proper coding.This code should only be used when the hemorrhage or hematoma is a direct complication of the genitourinary procedure.
- Payment Status: Active
- Modifier TC rule: The applicability of a technical component (TC) modifier depends on the specific circumstances and the involvement of different healthcare professionals.Refer to the CPT manual and local payer guidelines for details.
- Specialties:Urology, Gynecology, General Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Hospital Outpatient Department