ICD-10 Code K91.71 – Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedure (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedure is K91.71.
2026 ICD-10-CM Diagnosis Code K91.71 – Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedure

What it is

K91.71 identifies an unintentional puncture or laceration of a digestive organ or structure that occurs during a digestive system procedure. Use it when the injury is documented as a procedural complication, not as the original reason for care.

Clinical signs

Clinical features vary; refer to documentation. Findings may include recognized organ injury, unexpected bleeding, leakage, or the need for repair during or after the procedure.

When to use this code

Use this code when the record clearly states that a digestive organ or related structure was accidentally punctured or cut during a GI procedure. The complication should be linked to the procedure, such as endoscopy, surgery, or another digestive intervention. If the note only says “injury” without stating it was accidental or procedure-related, check documentation.

Do not use for

Do not use this code for intentional surgical resection, planned enterotomy, or injuries unrelated to a digestive system procedure. Do not assign it when the documentation does not support an accidental procedural complication.

Coding tip

Look for wording like “accidental,” “intraoperative,” or “during procedure,” and confirm the affected digestive structure before coding.

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