2026 ICD-10-CM Diagnosis Code G96.11Dural tear
ICD-10-CM Codes›G00–G99›G89-G99›G96
- Billable — Valid for Submission
- Not Chronic
G96.11 is a billable ICD-10-CM diagnosis code for dural tear. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 919 through 921. Coders also document this condition as accidental dural tear. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other nervous system disorders (neither hereditary nor degenerative).
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Accidental dural tear
- Spontaneous rupture of dura mater
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Code Also
- intracranial hypotension, if applicable G96.81
Type 1 Excludes
- accidental puncture or laceration of dura during a procedure G97.41
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Tear, torn (traumatic) - See Also: Laceration;
- nontraumatic - G96.11
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Tear, torn(traumatic)
- dural
- nontraumatic
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Brain Diseases
Your brain is the control center of your body. It controls your thoughts, memory, speech, and movement. It regulates the function of many organs. It's part of your nervous system, which also includes your spinal cord and peripheral nerves. The nervous system sends signals between your brain and the rest of the body.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert G96.11 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About G96.11Overview
Is G96.11 (Disorders of meninges, not elsewhere classified) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report dural tear on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does G96.11 group to?
When dural tear is the principal diagnosis on an inpatient stay, it groups to MS-DRG 919, 920, 921, with relative weights from 0.6884 to 1.8308 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of G96.11?
Under the General Equivalence Mappings, dural tear converts to ICD-9-CM 349.39 (dural tear NEC). The mapping is a direct match.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
