ICD-10 · PDGM grouping
I97 Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified
All 39 codes in the I97 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
39
Can lead a claim
39
Cannot lead a claim
0
What CMS assigns to I97
All 39 codes group to MMTA - Cardiac and Circulatory (38) and Wound (1). 1 of the 39 counts toward the Varicose Veins and Lymphedema comorbidity subgroup; 38 are assigned none. Every code can lead a claim.
- Varicose Veins and Lymphedema: can award the low comorbidity tier as a secondary diagnosis.
Every code in I97
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| I97.0 | Postcardiotomy syndrome | Can lead a claim | H | None |
| I97.1 Other postprocedural cardiac functional disturbances | ||||
| I97.11 Postprocedural cardiac insufficiency | ||||
| I97.110 | Postprocedural cardiac insufficiency following cardiac surgeryCMS: Postproc cardiac insufficiency following cardiac surgery | Can lead a claim | H | None |
| I97.111 | Postprocedural cardiac insufficiency following other surgery | Can lead a claim | H | None |
| I97.12 Postprocedural cardiac arrest | ||||
| I97.120 | Postprocedural cardiac arrest following cardiac surgery | Can lead a claim | H | None |
| I97.121 | Postprocedural cardiac arrest following other surgery | Can lead a claim | H | None |
| I97.13 Postprocedural heart failure | ||||
| I97.130 | Postprocedural heart failure following cardiac surgery | Can lead a claim | H | None |
| I97.131 | Postprocedural heart failure following other surgery | Can lead a claim | H | None |
| I97.19 Other postprocedural cardiac functional disturbances | ||||
| I97.190 | Other postprocedural cardiac functional disturbances following cardiac surgeryCMS: Oth postproc cardiac functn disturb fol cardiac surgery | Can lead a claim | H | None |
| I97.191 | Other postprocedural cardiac functional disturbances following other surgeryCMS: Oth postproc cardiac functn disturb following oth surgery | Can lead a claim | H | None |
| I97.2 | Postmastectomy lymphedema syndrome | Can lead a claim | C | Varicose Veins and Lymphedema |
| I97.3 | Postprocedural hypertension | Can lead a claim | H | None |
| I97.4 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure | ||||
| I97.41 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a circulatory system procedure | ||||
| I97.410 | Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterizationCMS: Intraoperative hemor/hemtom of a circ sys org comp card cath | Can lead a claim | H | None |
| I97.411 | Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypassCMS: Intraop hemor/hemtom of a circ sys org comp card bypass | Can lead a claim | H | None |
| I97.418 | Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedureCMS: Intraop hemor/hemtom of circ sys org comp oth circ sys proc | Can lead a claim | H | None |
| I97.42 | Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedureCMS: Intraop hemor/hemtom of a circ sys org comp oth procedure | Can lead a claim | H | None |
| I97.5 Accidental puncture and laceration of a circulatory system organ or structure during a procedure | ||||
| I97.51 | Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedureCMS: Acc pnctr & lac of a circ sys org during a circ sys proc | Can lead a claim | H | None |
| I97.52 | Accidental puncture and laceration of a circulatory system organ or structure during other procedureCMS: Acc pnctr & lac of a circ sys org during oth procedure | Can lead a claim | H | None |
| I97.6 Postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following a procedure | ||||
| I97.61 Postprocedural hemorrhage of a circulatory system organ or structure following a circulatory system procedure | ||||
| I97.610 | Postprocedural hemorrhage of a circulatory system organ or structure following a cardiac catheterizationCMS: Postproc hemor of a circ sys org following a cardiac cath | Can lead a claim | H | None |
| I97.611 | Postprocedural hemorrhage of a circulatory system organ or structure following cardiac bypassCMS: Postproc hemor of a circ sys org following cardiac bypass | Can lead a claim | H | None |
| I97.618 | Postprocedural hemorrhage of a circulatory system organ or structure following other circulatory system procedureCMS: Postproc hemor of a circ sys org fol other circ sys proc | Can lead a claim | H | None |
| I97.62 Postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following other procedure | ||||
| I97.620 | Postprocedural hemorrhage of a circulatory system organ or structure following other procedureCMS: Postproc hemor of a circ sys org following other procedure | Can lead a claim | H | None |
| I97.621 | Postprocedural hematoma of a circulatory system organ or structure following other procedureCMS: Postproc hematoma of a circ sys org fol other procedure | Can lead a claim | H | None |
| I97.622 | Postprocedural seroma of a circulatory system organ or structure following other procedureCMS: Postproc seroma of a circ sys org following other procedure | Can lead a claim | H | None |
| I97.63 Postprocedural hematoma of a circulatory system organ or structure following a circulatory system procedure | ||||
| I97.630 | Postprocedural hematoma of a circulatory system organ or structure following a cardiac catheterizationCMS: Postproc hematoma of a circ sys org following a cardiac cath | Can lead a claim | H | None |
| I97.631 | Postprocedural hematoma of a circulatory system organ or structure following cardiac bypassCMS: Postproc hematoma of a circ sys org following cardiac bypass | Can lead a claim | H | None |
| I97.638 | Postprocedural hematoma of a circulatory system organ or structure following other circulatory system procedureCMS: Postproc hematoma of a circ sys org fol other circ sys proc | Can lead a claim | H | None |
| I97.64 Postprocedural seroma of a circulatory system organ or structure following a circulatory system procedure | ||||
| I97.640 | Postprocedural seroma of a circulatory system organ or structure following a cardiac catheterizationCMS: Postproc seroma of a circ sys org following a cardiac cath | Can lead a claim | H | None |
| I97.641 | Postprocedural seroma of a circulatory system organ or structure following cardiac bypassCMS: Postproc seroma of a circ sys org following cardiac bypass | Can lead a claim | H | None |
| I97.648 | Postprocedural seroma of a circulatory system organ or structure following other circulatory system procedureCMS: Postproc seroma of a circ sys org fol other circ sys proc | Can lead a claim | H | None |
| I97.7 Intraoperative cardiac functional disturbances | ||||
| I97.71 Intraoperative cardiac arrest | ||||
| I97.710 | Intraoperative cardiac arrest during cardiac surgery | Can lead a claim | H | None |
| I97.711 | Intraoperative cardiac arrest during other surgery | Can lead a claim | H | None |
| I97.79 Other intraoperative cardiac functional disturbances | ||||
| I97.790 | Other intraoperative cardiac functional disturbances during cardiac surgeryCMS: Oth intraop cardiac functn disturb during cardiac surgery | Can lead a claim | H | None |
| I97.791 | Other intraoperative cardiac functional disturbances during other surgeryCMS: Oth intraop cardiac functional disturb during oth surgery | Can lead a claim | H | None |
| I97.8 Other intraoperative and postprocedural complications and disorders of the circulatory system, not elsewhere classified | ||||
| I97.81 Intraoperative cerebrovascular infarction | ||||
| I97.810 | Intraoperative cerebrovascular infarction during cardiac surgeryCMS: Intraoperative cerebvasc infarction during cardiac surgery | Can lead a claim | H | None |
| I97.811 | Intraoperative cerebrovascular infarction during other surgeryCMS: Intraoperative cerebrovascular infarction during oth surgery | Can lead a claim | H | None |
| I97.82 Postprocedural cerebrovascular infarction | ||||
| I97.820 | Postprocedural cerebrovascular infarction following cardiac surgeryCMS: Postproc cerebvasc infarction following cardiac surgery | Can lead a claim | H | None |
| I97.821 | Postprocedural cerebrovascular infarction following other surgeryCMS: Postprocedural cerebvasc infarction following other surgery | Can lead a claim | H | None |
| I97.88 | Other intraoperative complications of the circulatory system, not elsewhere classifiedCMS: Oth intraoperative complications of the circ sys, NEC | Can lead a claim | H | None |
| I97.89 | Other postprocedural complications and disorders of the circulatory system, not elsewhere classifiedCMS: Oth postproc comp and disorders of the circ sys, NEC | Can lead a claim | H | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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