I97.618 ICD-10-CM Code: Postprocedural hemorrhage of a circulatory system organ or structure following other circulatory system procedure
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 2 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 919 — COMPLICATIONS OF TREATMENT WITH MCC (MDC 21)
- MS-DRG 920 — COMPLICATIONS OF TREATMENT WITH CC (MDC 21)
- MS-DRG 921 — COMPLICATIONS OF TREATMENT WITHOUT CC/MCC (MDC 21)
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 I97.618 in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on I97.618 itself; “inherited from” names the category or block whose note applies here.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- postprocedural cerebrovascular hemorrhage complicating a procedure (G97.5-) inherited from I97.6Compare I97.618 vs G97.5 →
- postprocedural shock (T81.1-) inherited from I97Compare I97.618 vs T81.1 →
Coder workflow for I97.618
MedCoder structured workflow — derived from this code’s own official record
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
Excludes2 — not part of I97.618(2 notes)
Coding workflow: The conditions named in this note are not included in I97.618. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
See the official tabular notes · Guidelines I.A.12.b
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
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 (1)
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 I97.618 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 10 Excludes2 notes: T80 — Complications following infusion, transfusion and therapeutic injection (via I97.-), T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88) (via I97.-), T81 — Complications of procedures, not elsewhere classified (via I97.-), T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts (via I97.-), T83 — Complications of genitourinary prosthetic devices, implants and grafts (via I97.-), T84 — Complications of internal orthopedic prosthetic devices, implants and grafts (via I97.-), T85 — Complications of other internal prosthetic devices, implants and grafts (via I97.-), T86 — Complications of transplanted organs and tissue (via I97.-), T87 — Complications peculiar to reattachment and amputation (via I97.-), T88 — Other complications of surgical and medical care, not elsewhere classified (via I97.-).
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 84 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 3 MS-DRGs: DRG 919 (MDC 21), DRG 920 (MDC 21), DRG 921 (MDC 21).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):CIR038 — Postprocedural or postoperative circulatory 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.
H95.89 — Other postprocedural complications and disorders of the ear and mastoid process, not elsewhere classified, I85.01 — Esophageal varices with bleeding, I85.11 — Secondary esophageal varices with bleeding, I97.3 — Postprocedural hypertension, I97.410 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization, I97.411 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass, I97.418 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure, I97.42 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure, I97.610 — Postprocedural hemorrhage of a circulatory system organ or structure following a cardiac catheterization, I97.611 — Postprocedural hemorrhage of a circulatory system organ or structure following cardiac bypass, I97.620 — Postprocedural hemorrhage of a circulatory system organ or structure following other procedure, I97.621 — Postprocedural hematoma of a circulatory system organ or structure following other procedure, I97.622 — Postprocedural seroma of a circulatory system organ or structure following other procedure, I97.630 — Postprocedural hematoma of a circulatory system organ or structure following a cardiac catheterization, I97.631 — Postprocedural hematoma of a circulatory system organ or structure following cardiac bypass, I97.638 — Postprocedural hematoma of a circulatory system organ or structure following other circulatory system procedure, I97.640 — Postprocedural seroma of a circulatory system organ or structure following a cardiac catheterization, I97.641 — Postprocedural seroma of a circulatory system organ or structure following cardiac bypass, I97.648 — Postprocedural seroma of a circulatory system organ or structure following other circulatory system procedure, K21.9 — Gastro-esophageal reflux disease without esophagitis, +63 more
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Postprocedural or postoperative circulatory system complication).
I97.2 — Postmastectomy lymphedema syndrome, I97.3 — Postprocedural hypertension, I97.410 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization, I97.411 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass, I97.418 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure, I97.42 — Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure, I97.51 — Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure, I97.52 — Accidental puncture and laceration of a circulatory system organ or structure during other procedure, I97.610 — Postprocedural hemorrhage of a circulatory system organ or structure following a cardiac catheterization, I97.611 — Postprocedural hemorrhage of a circulatory system organ or structure following cardiac bypass, I97.62 — Postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following other procedure, I97.620 — Postprocedural hemorrhage of a circulatory system organ or structure following other procedure, I97.621 — Postprocedural hematoma of a circulatory system organ or structure following other procedure, I97.622 — Postprocedural seroma of a circulatory system organ or structure following other procedure, I97.630 — Postprocedural hematoma of a circulatory system organ or structure following a cardiac catheterization, I97.631 — Postprocedural hematoma of a circulatory system organ or structure following cardiac bypass, I97.638 — Postprocedural hematoma of a circulatory system organ or structure following other circulatory system procedure, I97.640 — Postprocedural seroma of a circulatory system organ or structure following a cardiac catheterization, I97.641 — Postprocedural seroma of a circulatory system organ or structure following cardiac bypass, I97.648 — Postprocedural seroma of a circulatory system organ or structure following other circulatory system procedure, +25 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 I97.618 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 I97.618 with these 8 related codes in Claim Check
Hierarchy
- I00-I99 — Chapter 9: Diseases of the Circulatory System (I00-I99) (I00-I99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I95-I99 — Other and unspecified disorders of the circulatory system[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes2 notes (10)
- T80 — Complications following infusion, transfusion and therapeutic injection[Excludes2](via I97.-): “functional disturbances following cardiac surgery (I97.0-I97.1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T80-T88 — Complications of surgical and medical care, not elsewhere classified (T80-T88)[Excludes2](via I97.-): “functional disturbances following cardiac surgery (I97.0-I97.1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T81 — Complications of procedures, not elsewhere classified[Excludes2](via I97.-): “functional disturbances following cardiac surgery (I97.0-I97.1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T82 — Complications of cardiac and vascular prosthetic devices, implants and grafts[Excludes2](via I97.-): “functional disturbances following cardiac surgery (I97.0-I97.1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T83 — Complications of genitourinary prosthetic devices, implants and grafts[Excludes2](via I97.-): “functional disturbances following cardiac surgery (I97.0-I97.1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T84 — Complications of internal orthopedic prosthetic devices, implants and grafts[Excludes2](via I97.-): “functional disturbances following cardiac surgery (I97.0-I97.1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T85 — Complications of other internal prosthetic devices, implants and grafts[Excludes2](via I97.-): “functional disturbances following cardiac surgery (I97.0-I97.1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- T86 — Complications of transplanted organs and tissue[Excludes2](via I97.-): “functional disturbances following cardiac surgery (I97.0-I97.1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 2 more
Clinical classification (CCSR)
- CIR038 — Postprocedural or postoperative circulatory system complication[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
- DRG 919 — COMPLICATIONS OF TREATMENT WITH MCC[MS-DRG]: “COMPLICATIONS OF TREATMENT WITH MCC (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 920 — COMPLICATIONS OF TREATMENT WITH CC[MS-DRG]: “COMPLICATIONS OF TREATMENT WITH CC (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 921 — COMPLICATIONS OF TREATMENT WITHOUT CC/MCC[MS-DRG]: “COMPLICATIONS OF TREATMENT WITHOUT CC/MCC (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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. 32,029 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries
- Complication (s) (from) (of), postprocedural, hemorrhage (of), circulatory system organ or structure, following other circulatory system procedure[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (40)
- I97 — Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I97.130 — Postprocedural heart failure following cardiac surgery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I97.131 — Postprocedural heart failure following other surgery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I97.19 — Other postprocedural cardiac functional disturbances[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I97.190 — Other postprocedural cardiac functional disturbances following cardiac surgery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I97.191 — Other postprocedural cardiac functional disturbances following other surgery[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I97.2 — Postmastectomy lymphedema syndrome[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I97.3 — Postprocedural hypertension[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history (3)
- FY2017 — Description revised[Change history]— CMS release files (code change ledger) · icd10cm-fy2017
- and 2 more
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
- FY2017 — October 1, 2016Description revisedPostprocedural hemorrhage and hematoma of a circulatory system organ or structure following other circulatory system procedure → Postprocedural hemorrhage of a circulatory system organ or structure following other circulatory system procedureFY2017 changes
- FY2017 — October 1, 2016Short description revisedPostproc hemor/hemtom of circ sys org fol oth circ sys proc → Postproc hemor of a circ sys org fol other circ sys procFY2017 changes
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionPostprocedural hemorrhage and hematoma of a circulatory system organ or structure following other circulatory system procedure
Nearest Codes in This Family
Official ICD-10-CM classifications closest to I97.618 in its code family, with their registry titles.
- I97.52 — Accidental puncture and laceration of a circulatory system organ or structure during other procedure
- I97.6 — Postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following a procedure
- I97.61 — Postprocedural hemorrhage of a circulatory system organ or structure following a circulatory system procedure
- I97.610 — Postprocedural hemorrhage of a circulatory system organ or structure following a cardiac catheterization
- I97.611 — Postprocedural hemorrhage of a circulatory system organ or structure following cardiac bypass
- I97.62 — Postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following other procedure
- I97.620 — Postprocedural hemorrhage of a circulatory system organ or structure following other procedure
- I97.621 — Postprocedural hematoma of a circulatory system organ or structure following other procedure
- I97.622 — Postprocedural seroma of a circulatory system organ or structure following other procedure
- I97.63 — Postprocedural hematoma of a circulatory system organ or structure following a circulatory system procedure