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G97.32 ICD-10-CM Code: Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
1 Excludes1 · 1 Excludes2

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)
  • MS-DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)
  • MS-DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for G97.32 in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on G97.32 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

  • intraoperative hemorrhage and hematoma of a nervous system organ or structure due to accidental puncture and laceration during a procedure (G97.4-) Compare G97.32 vs G97.4 →

Source: inherited from G97.3

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from G97

Coder workflow for G97.32

MedCoder structured workflow — derived from this code’s own official record

Before you code G97.32

  1. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with G97.32. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in G97.32’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewG97.4

Consider G97.32. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Official instructions as workflow

  • Excludes1 — check before selecting G97.32(1 note)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with G97.32: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareG97.4

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of G97.32(1 note)

    Coding workflow: The conditions named in this note are not included in G97.32. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareI97.81, I97.82

    See the official tabular notes · Guidelines I.A.12.b

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition G97.32 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewG97.4

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure is a billable ICD-10-CM diagnosis code (G97.32).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (2)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name G97.32 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 11 Excludes2 notes across 2 chapters: I97.4 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure (via G97.3.-), T80 — Complications following infusion, transfusion and therapeutic injection (via G97.3.-), T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) (via G97.3.-), T81 — Complications of procedures, not elsewhere classified (via G97.3.-), T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts (via G97.3.-), T83 — Complications of genitourinary prosthetic devices, implants and grafts (via G97.3.-), T84 — Complications of internal orthopedic prosthetic devices, implants and grafts (via G97.3.-), T85 — Complications of other internal prosthetic devices, implants and grafts (via G97.3.-), T86 — Complications of transplanted organs and tissue (via G97.3.-), T87 — Complications peculiar to reattachment and amputation (via G97.3.-), T88 — Other complications of surgical and medical care, not elsewhere classified (via G97.3.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 28 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 3 MS-DRGs: DRG 091 (MDC 01), DRG 092 (MDC 01), DRG 093 (MDC 01).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):NVS021 — Postprocedural or postoperative nervous system complication (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

G97.0 — Cerebrospinal fluid leak from spinal puncture, G97.2 — Intracranial hypotension following ventricular shunting, G97.31 — Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure, G97.81 — Other intraoperative complications of nervous system, G97.82 — Other postprocedural complications and disorders of nervous system, G97.83 — Intracranial hypotension following lumbar cerebrospinal fluid shunting, G97.84 — Intracranial hypotension following other procedure, H95.811 — Postprocedural stenosis of right external ear canal, H95.812 — Postprocedural stenosis of left external ear canal, H95.813 — Postprocedural stenosis of external ear canal, bilateral, H95.819 — Postprocedural stenosis of unspecified external ear canal, H95.88 — Other intraoperative complications and disorders of the ear and mastoid process, not elsewhere classified, H95.89 — Other postprocedural complications and disorders of the ear and mastoid process, not elsewhere classified, I97.3 — Postprocedural hypertension, I97.810 — Intraoperative cerebrovascular infarction during cardiac surgery, I97.811 — Intraoperative cerebrovascular infarction during other surgery, I97.820 — Postprocedural cerebrovascular infarction following cardiac surgery, I97.821 — Postprocedural cerebrovascular infarction following other surgery, M96.89 — Other intraoperative and postprocedural complications and disorders of the musculoskeletal system, N98.1 — Hyperstimulation of ovaries, +7 more

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Postprocedural or postoperative nervous system complication).

G97.0 — Cerebrospinal fluid leak from spinal puncture, G97.1 — Other reaction to spinal and lumbar puncture, G97.2 — Intracranial hypotension following ventricular shunting, G97.31 — Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure, G97.41 — Accidental puncture or laceration of dura during a procedure, G97.48 — Accidental puncture and laceration of other nervous system organ or structure during a nervous system procedure, G97.49 — Accidental puncture and laceration of other nervous system organ or structure during other procedure, G97.51 — Postprocedural hemorrhage of a nervous system organ or structure following a nervous system procedure, G97.52 — Postprocedural hemorrhage of a nervous system organ or structure following other procedure, G97.61 — Postprocedural hematoma of a nervous system organ or structure following a nervous system procedure, G97.62 — Postprocedural hematoma of a nervous system organ or structure following other procedure, G97.63 — Postprocedural seroma of a nervous system organ or structure following a nervous system procedure, G97.64 — Postprocedural seroma of a nervous system organ or structure following other procedure, G97.81 — Other intraoperative complications of nervous system, G97.82 — Other postprocedural complications and disorders of nervous system, G97.83 — Intracranial hypotension following lumbar cerebrospinal fluid shunting, G97.84 — Intracranial hypotension following other procedure

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Hemorrhage, hemorrhagic”; these codes share that main term but sit in a different category of the Tabular List.

D69.9 — Hemorrhagic condition, unspecified (disease), D73.5 — Infarction of spleen (spleen), E07.89 — Other specified disorders of thyroid (thyroid), E21.4 — Other specified disorders of parathyroid gland (parathyroid), E23.6 — Other disorders of pituitary gland (pituitary), E27.49 — Other adrenocortical insufficiency (adrenal), E27.8 — Other specified disorders of adrenal gland (adrenal, medulla), E32.8 — Other diseases of thymus (thymus), E51.2 — Wernicke's encephalopathy (polioencephalitis, superior), G95.19 — Other vascular myelopathies (spinal), H05.23 — Hemorrhage of orbit (orbit, orbital), H11.3 — Conjunctival hemorrhage (conjunctiva), H31.30 — Unspecified choroidal hemorrhage (choroid), H31.31 — Expulsive choroidal hemorrhage (choroid, expulsive), H35.6 — Retinal hemorrhage (retina, retinal), H43.1 — Vitreous hemorrhage (vitreous), H47.02 — Hemorrhage in optic nerve sheath (optic nerve), H57.89 — Other specified disorders of eye and adnexa (eye NEC), I31.2 — Hemopericardium, not elsewhere classified (pericardium, pericarditis), I51.89 — Other ill-defined heart diseases (heart), +149 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Partial Thromboplastin Time (PTT) Test, Prothrombin Time Test and INR (PT/INR)

Contextual Map

Every relationship of G97.32 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run G97.32 with these 8 related codes in Claim Check

Hierarchy

Referenced by Excludes2 notes (11)

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 8,892 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

  • Complication (s) (from) (of), intraoperative (intraprocedural), hemorrhage (hematoma) (of), nervous system, during other procedure[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hemorrhage, hemorrhagic (concealed), intracranial (nontraumatic), intracerebral (nontraumatic) (in), intraoperative, during other procedure[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (23)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to G97.32 in its code family, with their registry titles.

View all codes in the G97 family