2027 ICD-10-CM Diagnosis Code G97.41Accidental puncture or laceration of dura during a procedure
ICD-10-CM Codes›G00–G99›G89-G99›G97
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Not Chronic
G97.41 is a billable ICD-10-CM diagnosis code for accidental puncture or laceration of dura during a procedure. 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 puncture during a procedure. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative nervous system complication.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Accidental puncture during a procedure
- Accidental puncture of organ during a procedure
- Inadvertent dural tap
- Inadvertent dural tap during anesthesia
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to G97.41: its own notes plus those printed at G97 and Chapter 6. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Incidental (inadvertent) durotomy
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.
- 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.
- any associated diagnoses or complications
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name G97.41, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming G97.41: they are not reported together with it, unless the two conditions are unrelated.
- G96.11 Dural tearaccidental puncture or laceration of dura during a procedure (G97.41)
- G97.3 Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedureintraoperative hemorrhage and hematoma of a nervous system organ or structure due to accidental puncture and laceration during a procedure (G97.4-) names G97.4-, which includes this code
Excludes2 3
These codes carry an Excludes2 note naming G97.41: its condition is not part of those codes, and both may be reported when the patient has both.
- I97.5 Accidental puncture and laceration of a circulatory system organ or structure during a procedureaccidental puncture and laceration of brain during a procedure (G97.4-) names G97.4-, which includes this code
- Block T80-T88 Complications of surgical and medical care, not elsewhere classifiedintraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-) names G97.4, which includes this code
- T81 Complications of procedures, not elsewhere classifiedintraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-) names G97.4, which includes this code
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Tear, torn (traumatic) See Also: Laceration;
dural G97.41
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert G97.41 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About G97.41Overview
What is the ICD-10 code for accidental puncture or laceration of dura during a procedure?
The ICD-10-CM code for accidental puncture or laceration of dura during a procedure is G97.41 (sometimes written as G9741). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is G97.41 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report accidental puncture or laceration of dura during a procedure on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does G97.41 group to?
When accidental puncture or laceration of dura during a procedure 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 G97.41 a CC or MCC?
CMS lists G97.41 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.
What is the ICD-9 equivalent of G97.41?
Under the General Equivalence Mappings, accidental puncture or laceration of dura during a procedure converts to ICD-9-CM 349.31 (accid punc/op lac dura). The mapping is a direct match.
