G97.48 ICD-10-CM Code: Accidental puncture and laceration of other nervous system organ or structure during a nervous system procedure
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FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Other disorders of the nervous system (G89-G99)
G97.48
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceAccidental puncture and laceration of other nervous system organ or structure during a nervous system procedure
An accidental puncture or tear to parts of the nervous system (other than the dura) that occurs during a nervous system surgical procedure.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for G97.48 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for G97.48 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for G97.48 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for G97.48 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for G97.48 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for G97.48 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for G97.48 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is G97.48 an HCC code?
No. G97.48 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
G97.48 is the ICD-10-CM diagnosis code for accidental puncture and laceration of other nervous system organ or structure during a nervous system procedure. An accidental puncture or tear to parts of the nervous system (other than the dura) that occurs during a nervous system surgical procedure. G97.48 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering other disorders of the nervous system (g89-g99).
G97.48 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use this code for injuries to brain tissue, spinal cord, or nerves during neurosurgery; do not use for dural injuries (use G97.41 instead).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G97.48 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code for injuries to brain tissue, spinal cord, or nerves during neurosurgery; do not use for dural injuries (use G97.41 instead)
- •Documentation should specify which nervous system structure was injured (e.g., spinal cord, brain parenchyma, peripheral nerve)