Specific code 2011 ICD-9-CM Diagnosis Code 997.4
Digestive system complications not elsewhere classified
  • Short description: Surg comp-digestv system.
  • ICD-9-CM 997.4 will be replaced by an equivalent ICD-10-CM code (or codes) when the United States transitions from ICD-9-CM to ICD-10-CM on October 1, 2015.
  • ICD-9-CM 997.4 is a billable medical code that can be used to specify a diagnosis on a reimbursement claim.
  • You are viewing the 2011 version of ICD-9-CM 997.4.
  • More recent version(s) of ICD-9-CM 997.4: 2012 2013 2014.
997.4 Excludes
  • specified gastrointestinal complications classified elsewhere, such as:
    • blind loop syndrome (579.2)
    • colostomy or enterostomy complications (569.60-569.69)
    • complications of intestinal pouch (569.71-569.79)
    • gastrojejunal ulcer (534.0-534.9)
    • gastrostomy complications (536.40-536.49)
    • infection of esophagostomy (530.86)
    • infection of external stoma (569.61)
    • mechanical complication of esophagostomy (530.87)
    • pelvic peritoneal adhesions, female (614.6)
    • peritoneal adhesions (568.0)
    • peritoneal adhesions with obstruction (560.81)
    • postcholecystectomy syndrome (576.0)
    • postgastric surgery syndromes (564.2)
    • pouchitis (569.71)
    • vomiting following gastrointestinal surgery (564.3)
Applies To
  • Complications of:
    • Intestinal (internal) anastomosis and bypass, not elsewhere classified, except that involving urinary tract
  • Hepatic failure specified as due to a procedure
  • Hepatorenal syndrome specified as due to a procedure
  • Intestinal obstruction NOS specified as due to a procedure
  • No ICD-10-CM code(s) convert to ICD-9-CM 997.4
ICD-9-CM Volume 2 Index entries containing back-references to 997.4:
  • Anastomosis
    • intestinal 569.89
      • complicated NEC 997.4
        • involving urinary tract 997.5
  • Complications
    • anastomosis (and bypass) - see also Complications, due to (presence of) any device, implant, or graft classified to 996.0-996.5 NEC
      • hemorrhage NEC 998.11
      • intestinal (internal) NEC 997.4
        • involving urinary tract 997.5
      • mechanical - see Complications, mechanical, graft
      • urinary tract (involving intestinal tract) 997.5
    • bariatric surgery 997.4
    • gastrointestinal, postoperative NEC (see also Complications, surgical procedures) 997.4
    • stomach banding 997.4
    • stomach stapling 997.4
    • surgical procedures 998.9
      • accidental puncture or laceration 998.2
      • amputation stump (late) 997.60
      • anastomosis - see Complications, anastomosis
      • burst stitches or sutures (external) (see also Dehiscence) 998.32
      • cardiac 997.1
        • long-term effect following cardiac surgery 429.4
        • catheter device - see Complications, catheter device
      • cataract fragments in eye 998.82
      • cecostomy malfunction 569.62
      • colostomy malfunction 569.62
      • cystostomy malfunction 997.5
      • dehiscence (of incision) (external) (see also Dehiscence) 998.32
      • dialysis NEC (see also Complications, dialysis) 999.9
      • disruption (see also Dehiscence)
        • anastomosis (internal) - see Complications, mechanical, graft
        • internal suture (line) 998.31
        • wound (external) 998.32
      • dumping syndrome (postgastrectomy) 564.2
      • elephantiasis or lymphedema 997.99
      • emphysema (surgical) 998.81
      • enterostomy malfunction 569.62
      • esophagostomy malfunction 530.87
      • evisceration 998.32
      • fistula (persistent postoperative) 998.6
      • foreign body inadvertently left in wound (sponge) (suture) (swab) 998.4
      • from nonabsorbable surgical material (Dacron) (mesh) (permanent suture) (reinforcing) (Teflon) - see Complications due to (presence of) any device, implant, or graft classified to 996.0-996.5 NEC
      • gastrointestinal NEC 997.4
      • gastrostomy malfunction 536.42
      • hematoma 998.12
      • hemorrhage 998.11
      • ileostomy malfunction 569.62
      • internal prosthetic device NEC (see also Complications, internal device) 996.70
        • hemolytic anemia 283.19
        • infection or inflammation 996.60
        • malfunction - see Complications, mechanical
        • mechanical complication - see Complications, mechanical
        • thrombus 996.70
      • jejunostomy malfunction 569.62
      • nervous system NEC 997.00
      • obstruction, internal anastomosis - see Complications, mechanical, graft
      • other body system NEC 997.99
      • peripheral vascular NEC 997.2
      • postcardiotomy syndrome 429.4
      • postcholecystectomy syndrome 576.0
      • postcommissurotomy syndrome 429.4
      • postgastrectomy dumping syndrome 564.2
      • postmastectomy lymphedema syndrome 457.0
      • postmastoidectomy 383.30
      • postvagotomy syndrome 564.2
      • postvalvulotomy syndrome 429.4
      • reattached extremity (infection) (rejection) (see also Complications, reattached, extremity) 996.90
      • respiratory NEC 997.39
      • seroma 998.13
      • shock (endotoxic) (hypovolemic) (septic) 998.0
      • shunt, prosthetic (thrombus) - see also Complications, due to (presence of) any device, implant, or graft classified to 996.0-996.5 NEC
      • specified complication NEC 998.89
      • stitch abscess 998.59
      • transplant - see Complications, graft
      • ureterostomy malfunction 997.5
      • urethrostomy malfunction 997.5
      • urinary NEC 997.5
      • vascular
      • wound infection 998.59
  • Disruption
    • gastrointestinal anastomosis 997.4
  • Failure, failed
    • hepatic 572.8
      • acute 570
      • due to a procedure 997.4
  • Ileus (adynamic) (bowel) (colon) (inhibitory) (intestine) (neurogenic) (paralytic) 560.1
    • following gastrointestinal surgery 997.4
    • postoperative 997.4
  • Leakage
    • bile from drainage tube (T tube) 997.4
  • Obstruction, obstructed, obstructive
    • intestine (mechanical) (neurogenic) (paroxysmal) (postinfectional) (reflex) 560.9
      • with
        • adhesions (intestinal) (peritoneal) 560.81
        • hernia - see also Hernia, by site, with obstruction
          • gangrenous - see Hernia, by site, with gangrene
      • adynamic (see also Ileus) 560.1
      • by gallstone 560.31
      • congenital or infantile (small) 751.1
      • due to
        • Ascaris lumbricoides 127.0
        • mural thickening 560.89
        • procedure 997.4
          • involving urinary tract 997.5
      • impaction 560.39
      • infantile - see Obstruction, intestine, congenital
      • newborn
      • specified cause NEC 560.89
      • transitory, newborn 777.4
      • volvulus 560.2
  • Retention, retained
    • cholelithiasis 997.4
    • gallstones 997.4
  • Syndrome - see also Disease
    • hepatorenal 572.4
      • due to a procedure 997.4
      • following delivery 674.8
ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. ICD-9-CM 997.4 is one of thousands of ICD-9-CM codes used in healthcare. Although ICD-9-CM and CPT codes are largely numeric, they differ in that CPT codes describe medical procedures and services. Can't find a code? Start at the root of ICD-9-CM, check the 2011 ICD-9-CM Index or use the search engine at the top of this page to lookup any code.