Neurosurgery Coding Alert
Make Complication Dx As Specific As Possible
Question: If a patient suffers from an intra- or postoperative complication involving bleeding — such as hemorrhage or hematoma — how can you note it on the claim? A patient suffered postoperative hematoma after spinal surgery; are there ICD-10 codes for such circumstances? AAPC Forum Subscriber Answer: Yes, there are several codes to represent this complication; which one you choose will depend on the type of complication. Do this: Head to the M96.8- (Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified) section of the ICD-10 code book. Then, choose from one of the following code sets, depending on encounter specifics: Note: If the patient had suffered complications to their central nervous system during surgery, you’d choose a code from the G97.- (Intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified) code set.
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