Intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified
In Other disorders of the nervous system (G89-G99), chapter 6: Diseases of the Nervous System
18 billable codes under G97: 17 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers default dominant or nondominant side for hemiplegia and monoplegia, and use and sequencing of G89 pain codes, including postoperative, chronic, and neoplasm-related pain.
- Dominant/nondominant side (page 45)
- Pain - Category G89 (page 45)
All codes under G97
G97 can't be used on a claim. Pick a billable code below; grey headings group them.
- G97.0Cerebrospinal fluid leak from spinal puncture
- G97.1Other reaction to spinal and lumbar puncture
- G97.2Intracranial hypotension following ventricular shunting
- G97.3Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure
- G97.31Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure
- G97.32Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure
- G97.4Accidental puncture and laceration of a nervous system organ or structure during a procedure
- G97.41Accidental puncture or laceration of dura during a procedure
- G97.48Accidental puncture and laceration of other nervous system organ or structure during a nervous system procedure
- G97.49Accidental puncture and laceration of other nervous system organ or structure during other procedure
- G97.5Postprocedural hemorrhage of a nervous system organ or structure following a procedure
- G97.51Postprocedural hemorrhage of a nervous system organ or structure following a nervous system procedure
- G97.52Postprocedural hemorrhage of a nervous system organ or structure following other procedure
- G97.6Postprocedural hematoma and seroma of a nervous system organ or structure following a procedure
- G97.61Postprocedural hematoma of a nervous system organ or structure following a nervous system procedure
- G97.62Postprocedural hematoma of a nervous system organ or structure following other procedure
- G97.63Postprocedural seroma of a nervous system organ or structure following a nervous system procedure
- G97.64Postprocedural seroma of a nervous system organ or structure following other procedure
- G97.8Other intraoperative and postprocedural complications and disorders of nervous system
- G97.81Other intraoperative complications of nervous system
- G97.82Other postprocedural complications and disorders of nervous system
- G97.83Intracranial hypotension following lumbar cerebrospinal fluid shunting
- G97.84Intracranial hypotension following other procedure
G97 MS-DRGs
As the principal diagnosis, the billable codes under G97 group to these 10 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 791 Prematurity with Major Problems (10 of 18 codes)
- DRG 793 Full Term Neonate with Major Problems (10 of 18 codes)
- DRG 919 Complications of Treatment with MCC (9 of 18 codes)
- DRG 920 Complications of Treatment with CC (9 of 18 codes)
- DRG 921 Complications of Treatment without CC/MCC (9 of 18 codes)
- DRG 091 Other Disorders of Nervous System with MCC (8 of 18 codes)
- DRG 092 Other Disorders of Nervous System with CC (8 of 18 codes)
- DRG 093 Other Disorders of Nervous System without CC/MCC (8 of 18 codes)
- DRG 102 Headaches with MCC (1 of 18 codes)
- DRG 103 Headaches without MCC (1 of 18 codes)
Code history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.