I97.4 vs I97.5
I97.4 (Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure) compared with I97.5 (Accidental puncture and laceration of a circulatory system organ or structure during a procedure), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. I97.4 carries an Excludes1 note covering I97.5: “intraoperative hemorrhage and hematoma of a circulatory system organ or structure due to accidental puncture and laceration during a procedure (I97.5-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| I97.4Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure | I97.5Accidental puncture and laceration of a circulatory system organ or structure during a procedure | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | I00-I99 — Diseases of the Circulatory System (I00-I99) | I00-I99 — Diseases of the Circulatory System (I00-I99) |
| Definition | Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure is a non-billable ICD-10-CM category code (I97.4). | Accidental puncture and laceration of a circulatory system organ or structure during a procedure is a non-billable ICD-10-CM category code (I97.5). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources