2027 ICD-10-CM Diagnosis Code I97.51Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure

ICD-10-CM Codes›I00–I99›I95-I99›I97

ICD-10-CM I97.51
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

I97.51 is a billable ICD-10-CM diagnosis code for accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 791, 793, 919 through 921. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 78 closely related codes. Coders also document this condition as perforation of left ventricle due to procedure. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative circulatory system complication.

Code Identity

ICD-10-CM Code
I97.51
Billable Status
Yes — Valid for Submission
Code Describes
Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure
Short Description
Acc pnctr & lac of a circ sys org during a circ sys proc
Parent Code
I97.5
Accidental puncture and laceration of a circulatory system organ or structure during a procedure

Code Classification

ChapterI00–I99Diseases of the circulatory system
SectionI95-I99Other and unspecified disorders of the circulatory system
CategoryI97Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified
This CodeI97.51Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Perforation of left ventricle due to procedure
  • Postprocedural right ventricular perforation

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to I97.51: its own notes plus those printed at I97.5, I97, and Chapter 9. A note printed at a category, block or chapter applies to every code under it.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From I97.5 Accidental puncture and laceration of a circulatory system organ or structure during a procedure applies to 2 codes
  • accidental puncture and laceration of brain during a procedure (G97.4-)
From I97 Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified applies to 39 codes
From Chapter 9 (I00-I99) Diseases of the circulatory system applies to 1,433 codes
  • 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)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name I97.51, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming I97.51: they are not reported together with it, unless the two conditions are unrelated.

  • I97.4 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure
    intraoperative hemorrhage and hematoma of a circulatory system organ or structure due to accidental puncture and laceration during a procedure (I97.5-) names I97.5-, which includes this code

Excludes2 2

These codes carry an Excludes2 note naming I97.51: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block T80-T88 Complications of surgical and medical care, not elsewhere classified
    intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-) names I97.5, which includes this code
  • T81 Complications of procedures, not elsewhere classified
    intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-) names I97.5, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

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

CCSR CIR038
Postprocedural or postoperative circulatory system complication
Default principal diagnosis: inpatient Yes · outpatient Yes

Convert I97.51 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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About I97.51Overview

Is I97.51 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does I97.51 group to?

When accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 920, 919, 921, with relative weights from 0.6719 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.

Is I97.51 a CC or MCC?

CMS lists I97.51 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 78 closely related codes in its exclusion list.

What is the ICD-9 equivalent of I97.51?

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