2026 ICD-10-CM Diagnosis Code G97.49Accidental puncture and laceration of other nervous system organ or structure during other procedure

ICD-10-CM Codes›G00–G99›G89-G99›G97

ICD-10-CM G97.49
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

G97.49 is a billable ICD-10-CM diagnosis code for accidental puncture and laceration of other nervous system organ or structure during other procedure. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 919 through 921. Coders also document this condition as avulsion of inferior alveolar nerve due to osteotomy. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative nervous system complication.

Code Identity

ICD-10-CM Code
G97.49
Billable Status
Yes — Valid for Submission
Code Describes
Accidental puncture and laceration of other nervous system organ or structure during other procedure
Short Description
Acc pnctr & lac of nervous sys org during oth procedure
Parent Code
G97.4
Accidental puncture and laceration of a nervous system organ or structure during a procedure

Code Classification

ChapterG00–G99Diseases of the nervous system
SectionG89-G99Other disorders of the nervous system
CategoryG97Intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified
This CodeG97.49Accidental puncture and laceration of other nervous system organ or structure during other procedure

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Avulsion of inferior alveolar nerve due to osteotomy

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Complication(s) (from) (of)
      • intraoperative (intraprocedural)
        • puncture or laceration (accidental) (unintentional) (of)
          • brain
            • during other procedure
    • Complication(s) (from) (of)
      • intraoperative (intraprocedural)
        • puncture or laceration (accidental) (unintentional) (of)
          • nervous system
            • during other procedure

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NVS021
Postprocedural or postoperative nervous system complication
Default principal diagnosis: inpatient Yes · outpatient Yes

Convert G97.49 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
998.2 Accidental op laceration
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About G97.49Overview

Is G97.49 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report accidental puncture and laceration of other nervous system organ or structure during other procedure on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does G97.49 group to?

When accidental puncture and laceration of other nervous system organ or structure during other procedure is the principal diagnosis on an inpatient stay, it groups to MS-DRG 919, 920, 921, with relative weights from 0.6884 to 1.8308 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of G97.49?

Under the General Equivalence Mappings, accidental puncture and laceration of other nervous system organ or structure during other procedure converts to ICD-9-CM 998.2 (accidental op laceration). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.