2025 ICD-10-CM code Y69
(Valid) Effective Date: N/A External causes of morbidity - Complications of medical and surgical care 20 Feed
Unspecified misadventure during surgical and medical care.
Medical necessity is not directly related to this code, as it represents an unintended event. However, the underlying reason for the medical or surgical care during which the misadventure occurred must be medically necessary and appropriately documented.
It is the clinician's responsibility to document the specific nature of the misadventure if known, using a more specific code if available. Using this code indicates a lack of further details regarding the incident.
In simple words: Something unexpected happened during a medical or surgical procedure, but the details are unknown.
This code represents an unspecified misadventure or mishap that occurred during surgical or medical care.It captures events where something unintended or unexpected happened during a medical procedure, but the specific nature of the misadventure is not documented or unknown.
Example 1: A patient experiences an unspecified complication during surgery, and the details of the complication are not documented in the medical record., A patient receives an injection, and an unspecified adverse event occurs, but the specific nature of the event is unknown., During a medical procedure, a piece of equipment malfunctions in an unspecified way, leading to a misadventure.
While this code captures unspecified misadventures, clinicians should always strive to document the specific details of any adverse event or mishap that occurs during medical care. This allows for more accurate coding, better tracking of adverse events, and improved patient safety.
- Specialties:Any specialty involved in surgical or medical care.
- Place of Service:Any place of service where surgical or medical care is provided.