K91.6 ICD-10-CM Code: Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a procedure
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FY 2026 Apr update / Diseases of the digestive system (K00-K95) / Other diseases of the digestive system (K90-K95)
K91.6
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceIntraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a procedure
Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a 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
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for K91.6 in this effective period.
Excludes 2
Official- complications of artificial opening of digestive system (K94.-)
- complications of bariatric procedures (K95.-)
- gastrojejunal ulcer (K28.-)
- postprocedural (radiation) retroperitoneal abscess (K68.11)
- radiation colitis (K52.0)
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for K91.6 in this effective period.
Excludes 1
Official- intraoperative hemorrhage and hematoma of a digestive system organ or structure due to accidental puncture and laceration during a procedure (K91.7-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for K91.6 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for K91.6 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for K91.6 in this effective period.
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.
What This Code Means
K91.6 is the ICD-10-CM diagnosis code for intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a procedure. K91.6 sits in the ICD-10-CM chapter for diseases of the digestive system (k00-k95), within the section covering other diseases of the digestive system (k90-k95).
Header codes like K91.6 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at K91.6's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K91.6 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Excludes 1, Do NOT code together
- intraoperative hemorrhage and hematoma of a digestive system organ or structure due to accidental puncture and laceration during a procedure (K91.7-)