2027 ICD-10-CM Diagnosis Code G96.11Dural tear

ICD-10-CM Codes›G00–G99›G89-G99›G96

ICD-10-CM G96.11
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

G96.11 is a billable ICD-10-CM diagnosis code for dural tear. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 791, 793, 919 through 921. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 78 closely related codes. 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

ICD-10-CM Code
G96.11
Billable Status
Yes — Valid for Submission
Code Describes
Dural tear
Short Description
Dural tear
Same as the full description in the CMS dataset.
Parent Code
G96.1
Disorders of meninges, not elsewhere classified

Code Classification

ChapterG00–G99Diseases of the nervous system
SectionG89-G99Other disorders of the nervous system
CategoryG96Other disorders of central nervous system
This CodeG96.11Dural tear

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Accidental dural tear
  • Spontaneous rupture of dura mater

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to G96.11: its own notes plus those printed at Chapter 6. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • accidental puncture or laceration of dura during a procedure (G97.41)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 6 (G00-G99) Diseases of the nervous system applies to 700 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

  • intracranial hypotension, if applicable (G96.81-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NVS020
Other nervous system disorders (neither hereditary nor degenerative)
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Dura Mater Tear

    injury to the dura mater, with or without damage to any other layer of the meninges.

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.

ICD-9-CM
349.39 Dural tear NEC
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About G96.11Overview

What is the ICD-10 code for dural tear?

The ICD-10-CM code for dural tear is G96.11 (sometimes written as G9611). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

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, 2026 through September 30, 2027.

What MS-DRG does G96.11 group to?

When dural tear is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 920, 919, 921, with relative weights from 0.6719 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.

Is G96.11 a CC or MCC?

CMS lists G96.11 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 78 closely related codes in its exclusion list.

Can G96.11 be reported with G97.41?

Not as a rule. The Excludes1 note on G96.11 lists "accidental puncture or laceration of dura during a procedure (G97.41)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).