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K91.61 vs K91.7

K91.61 (Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a digestive system procedure) compared with K91.7 (Accidental puncture and laceration of a digestive 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. K91.61 carries an Excludes1 note covering K91.7: “intraoperative hemorrhage and hematoma of a digestive system organ or structure due to accidental puncture and laceration during a procedure (K91.7-)”

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

K91.61Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a digestive system procedureK91.7Accidental puncture and laceration of a digestive system organ or structure during a procedure
Billing statusBillableNon-billable header

Report instead: K91.71, K91.72

ClassificationK00-K95 — Diseases of the Digestive System (K00-K95)K00-K95 — Diseases of the Digestive System (K00-K95)
DefinitionIntraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a digestive system procedure is a billable ICD-10-CM diagnosis code (K91.61).Accidental puncture and laceration of a digestive system organ or structure during a procedure is a non-billable ICD-10-CM category code (K91.7).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources