ICD-10-CM Code G97.1

Other reaction to spinal and lumbar puncture

Version 2021 Billable Code

Valid for Submission

G97.1 is a billable code used to specify a medical diagnosis of other reaction to spinal and lumbar puncture. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code G97.1 might also be used to specify conditions or terms like complication of puncture procedure, headache following lumbar puncture, intracranial hypotension, intracranial hypotension due to lumbar puncture, low pressure headache, low pressure headache, etc

ICD-10:G97.1
Short Description:Other reaction to spinal and lumbar puncture
Long Description:Other reaction to spinal and lumbar puncture

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code G97.1:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Headache due to lumbar puncture
  • Other reaction to spinal dural puncture

Code Also

Code Also
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • , if applicable, any associated headache with orthostatic component R51.0

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code G97.1 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Complication of puncture procedure
  • Headache following lumbar puncture
  • Intracranial hypotension
  • Intracranial hypotension due to lumbar puncture
  • Low pressure headache
  • Low pressure headache
  • Obstetric spinal and epidural anesthesia-induced headache
  • Post dural puncture headache
  • Post dural puncture headache
  • Reaction to lumbar puncture

Diagnostic Related Groups

The ICD-10 code G97.1 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2021.

  • 102 - HEADACHES WITH MCC
  • 103 - HEADACHES WITHOUT MCC

Convert G97.1 to ICD-9

  • 349.0 - Lumbar puncture reaction (Approximate Flag)

Code Classification

  • Diseases of the nervous system (G00–G99)
    • Other disorders of the nervous system (G89-G99)
      • Intraop and postproc comp and disorders of nervous sys, NEC (G97)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021