2027 ICD-10-CM Diagnosis Code N99.72Accidental puncture and laceration of a genitourinary system organ or structure during other procedure

ICD-10-CM Codes›N00–N99›N99›N99

ICD-10-CM N99.72
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

N99.72 is a billable ICD-10-CM diagnosis code for accidental puncture and laceration of a genitourinary system organ or structure during other 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 genitourinary system complication.

Code Identity

ICD-10-CM Code
N99.72
Billable Status
Yes — Valid for Submission
Code Describes
Accidental puncture and laceration of a genitourinary system organ or structure during other procedure
Short Description
Accidental pnctr & lac of a GU sys org during oth procedure
Parent Code
Accidental puncture and laceration of a genitourinary system organ or structure during a procedure

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN99Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified
CategoryN99Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified
This CodeN99.72Accidental puncture and laceration of a genitourinary system organ or structure during other procedure

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to N99.72: its own notes plus those printed at N99 and Chapter 14. 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 N99 Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified applies to 44 codes
  • irradiation cystitis (N30.4-)
  • postoophorectomy osteoporosis with current pathological fracture (M80.8-)
  • postoophorectomy osteoporosis without current pathological fracture (M81.8)
From Chapter 14 (N00-N99) Diseases of the genitourinary system applies to 838 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 N99.72, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming N99.72: they are not reported together with it, unless the two conditions are unrelated.

  • N99.6 Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a procedure
    intraoperative hemorrhage and hematoma of a genitourinary system organ or structure due to accidental puncture or laceration during a procedure (N99.7-) names N99.7-, which includes this code

Excludes2 2

These codes carry an Excludes2 note naming N99.72: 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 N99.-, 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 N99.-, which includes this code

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

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

CCSR GEN026
Postprocedural or postoperative genitourinary system complication
Default principal diagnosis: inpatient Yes · outpatient Yes

Convert N99.72 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 N99.72Overview

Is N99.72 a billable code?

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

What MS-DRG does N99.72 group to?

When accidental puncture and laceration of a genitourinary system organ or structure during other 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 N99.72 a CC or MCC?

CMS lists N99.72 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 N99.72?

Under the General Equivalence Mappings, accidental puncture and laceration of a genitourinary 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.