G96.01

G96.01: Cranial cerebrospinal fluid leak, spontaneous

Billable / specific codeICD-10-CM

G96.01 is a billable, specific ICD-10-CM code for cranial cerebrospinal fluid leak, spontaneous. It is valid for submission on a claim.

Check G96.01 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Otorrhea due to spontaneous cerebrospinal fluid CSF leak
Rhinorrhea due to spontaneous cerebrospinal fluid CSF leak
Spontaneous cerebrospinal fluid leak from skull base

Excludes1 inherited from the categories above G96.01

A category’s note binds every code beneath it.

Written on G96.0: Cerebrospinal fluid leak

cerebrospinal fluid leak from spinal puncture (G97.0)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

G96.01 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56612Billing and Coding: CT of the Head
A57204Billing and Coding: MRI and CT Scans of the Head and Neck
A57206Billing and Coding: Lumbar MRI

Alphabetic index entries that lead here

Otorrhea›cerebrospinal(fluid)
Rhinorrhea›cerebrospinal(fluid)
Otorrhea›cerebrospinal›spontaneous
Rhinorrhea›cerebrospinal›spontaneous
Leak, leakage›cerebrospinal fluid›cranial›spontaneous
Leak, leakage›cerebrospinal fluid›spontaneous›from›skull base

Code history

Unchanged in every release from FY2024 to FY2027.