2027 ICD-10-CM Diagnosis Code N99.81Other intraoperative complications of genitourinary system

ICD-10-CM Codes›N00–N99›N99›N99

ICD-10-CM N99.81
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

N99.81 is a billable ICD-10-CM diagnosis code for other intraoperative complications of genitourinary system. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 698 through 700, 791, 793. Coders also document this condition as accidental organ perforation during a procedure. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative genitourinary system complication.

Code Identity

ICD-10-CM Code
N99.81
Billable Status
Yes — Valid for Submission
Code Describes
Other intraoperative complications of genitourinary system
Short Description
Other intraoperative complications of genitourinary system
Same as the full description in the CMS dataset.
Parent Code
Other intraoperative and postprocedural complications and disorders of genitourinary system

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 CodeN99.81Other intraoperative complications of genitourinary system

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Accidental organ perforation during a procedure
  • Accidental perforation of urinary bladder during operation
  • Accidental wound in surgical operation
  • Injury of ureter during surgery
  • Injury of urinary bladder during surgery
  • Perforation of urinary bladder
  • Traumatic injury to kidney during surgery
  • Traumatic perforation of urinary bladder

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to N99.81: 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 N99.81, its category, or a range that includes it.

Excludes2 2

These codes carry an Excludes2 note naming N99.81: 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

Alphabetical index entries that point to this code.

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

Patient EducationClinical

Surgery

There are many reasons to have surgery. Some operations can relieve or prevent pain. Others can reduce a symptom of a problem or improve some body function. Some surgeries are done to find a problem. For example, a surgeon may do a biopsy, which involves removing a piece of tissue to examine under a microscope.

Read the full article at MedlinePlus

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

Convert N99.81 to ICD-9-CMHistory

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

ICD-9-CM
997.5 Surg compl-urinary tract
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 N99.81Overview

What is the ICD-10 code for other intraoperative complications of genitourinary system?

The ICD-10-CM code for other intraoperative complications of genitourinary system is N99.81 (sometimes written as N9981). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is N99.81 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other intraoperative complications of genitourinary system on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does N99.81 group to?

When other intraoperative complications of genitourinary system is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 699, 698, 700, with relative weights from 0.6740 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of N99.81?

Under the General Equivalence Mappings, other intraoperative complications of genitourinary system converts to ICD-9-CM 997.5 (surg compl-urinary tract). The mapping is approximate, so confirm the match fits the documentation.