2027 ICD-10-CM Diagnosis Code K91.71Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedure

ICD-10-CM Codes›K00–K95›K90-K95›K91

ICD-10-CM K91.71
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

K91.71 is a billable ICD-10-CM diagnosis code for accidental puncture and laceration of a digestive system organ or structure during a digestive 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative digestive system complication.

Code Identity

ICD-10-CM Code
K91.71
Billable Status
Yes — Valid for Submission
Code Describes
Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedure
Short Description
Accidental pnctr & lac of a dgstv sys org dur dgstv sys proc
Parent Code
Accidental puncture and laceration of a digestive system organ or structure during a procedure

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK90-K95Other diseases of the digestive system
CategoryK91Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified
This CodeK91.71Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedure

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to K91.71: its own notes plus those printed at K91 and Chapter 11. 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 K91 Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified applies to 24 codes
  • complications of artificial opening of digestive system (K94.-)
  • complications of bariatric procedures (K95.-)
  • gastrojejunal ulcer (K28.-)
  • postprocedural (radiation) retroperitoneal abscess (K68.11)
  • radiation colitis (K52.0)
  • radiation gastroenteritis (K52.0)
  • radiation proctitis (K62.7)
From Chapter 11 (K00-K95) Diseases of the digestive system applies to 863 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)

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

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name K91.71, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming K91.71: they are not reported together with it, unless the two conditions are unrelated.

  • K91.6 Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a procedure
    intraoperative hemorrhage and hematoma of a digestive system organ or structure due to accidental puncture and laceration during a procedure (K91.7-) names K91.7-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming K91.71: its condition is not part of those codes, and both may be reported when the patient has both.

  • 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 K91.-, which includes this code

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

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

CCSR DIG024
Postprocedural or postoperative digestive system complication
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Digestive Diseases

When you eat, your body breaks food down to a form it can use to build and nourish cells and provide energy. This process is called digestion.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K91.71 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 K91.71Overview

Is K91.71 a billable code?

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

What MS-DRG does K91.71 group to?

When accidental puncture and laceration of a digestive system organ or structure during a digestive 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 K91.71 a CC or MCC?

CMS lists K91.71 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 K91.71?

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