G97.31

Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure

FY2027Chapter 6: Diseases of the nervous system/G89–G99 Other disorders of the nervous system

BillableComplete code, valid to report

G97.31 (also written G9731) is a billable ICD-10-CM diagnosis code for intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 18 codes in category G97 (Intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified). The Alphabetic Index lists it under 2 entries. Its coding notes include 1 Excludes1 entry and 9 Excludes2 entries.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Intraoperative and postprocedural complications are coded from the body system chapters unless the complication is specifically indexed to a T code.

Guidelines I.C.19.g.5Postprocedural complications in the body system chaptersRead the official text

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from G97.3 Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure
  • intraoperative hemorrhage and hematoma of a nervous system organ or structure due to accidental puncture and laceration during a procedure (G97.4-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from G97 Intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified
  • intraoperative and postprocedural cerebrovascular infarction (I97.81-, I97.82-)
Also from chapter/block level (8 notes)
Inherited from Chapter 6 Diseases of the nervous system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Neuro Rehabilitation clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

IRF 60% Rule

On the CMS list of diagnoses used to determine presumptive compliance with the IRF 60 percent rule.

Source: CMS IRF Presumptive Compliance-3, FY 2027 IRF PPS final rule files, effective for discharges on or after October 1, 2026

Hospital CC

Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 28 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 2 entries