ICD-10 Code K91.7 – Accidental puncture and laceration of a digestive system organ or structure during a procedure (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code K91.7 – Accidental puncture and laceration of a digestive system organ or structure during a procedure
What it is
This code identifies an unintended puncture or cut involving a digestive organ or structure that occurs during a procedure. It is used for a procedure-related injury, not for the original disease being treated.
Clinical signs
Clinical features vary; refer to documentation. Commonly noted findings include unexpected perforation, bleeding, pain, or signs of organ injury recognized during or after the procedure.
When to use this code
Use this code when the record clearly states that a digestive system organ or structure was accidentally injured during surgery, endoscopy, or another procedure. You should link it to the documented procedural complication, not to routine postoperative discomfort. If the note does not specify the organ or the injury is uncertain, check documentation.
Do not use for
Do not use this code for planned surgical removal, normal operative entry, or injuries unrelated to a procedure. It is also not appropriate when the documentation only mentions postoperative pain or a suspected complication without confirmation.
Coding tip
Assign K91.7 only when the provider documents the injury as accidental and procedure-related, and code the underlying procedure complication separately if instructed.