2026 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 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 919 through 921. 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

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)
          • circulatory system organ or structure
            • during circulatory system procedure

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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

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, 2025 through September 30, 2026.

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 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 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.

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.