ICD-10 Code G97.49 – Accidental puncture and laceration of other nervous system organ or structure during other procedure (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code G97.49 – Accidental puncture and laceration of other nervous system organ or structure during other procedure
What it is
This code reports an unintended puncture or laceration of a nervous system organ or structure that occurs during another procedure. Use it when the injury is documented as a procedural complication and the affected site is not otherwise specified in a more specific code.
Clinical signs
Clinical features vary; refer to documentation. You may see new neurologic pain, weakness, numbness, bleeding, or other signs of injury noted after the procedure, with the complication linked to the operative event.
When to use this code
Use G97.49 when the record clearly states an accidental puncture or laceration involving another nervous system organ or structure during a procedure. It is appropriate when the complication is recognized and documented, but a more specific site-based code is not available. Confirm the operative note and postoperative documentation support the complication.
Do not use for
Do not use this code for intentional surgical removal, routine postoperative pain, or neurologic symptoms unrelated to a documented puncture or laceration. Check documentation if the injury site or procedure-related nature is unclear.
Coding tip
Code the complication only when the provider documents it as accidental and procedure-related, and verify whether a more specific complication code applies.