G97.1

G97.1: Other reaction to spinal and lumbar puncture

Billable / specific codeICD-10-CM

G97.1 is a billable, specific ICD-10-CM code for other reaction to spinal and lumbar puncture. It is valid for submission on a claim.

Check G97.1 with the rest of the claim: free scrubber

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

, if applicable, any associated headache with orthostatic component (R51.0)

Inclusion terms

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

Headache due to lumbar puncture
Other reaction to spinal dural puncture

Excludes2 inherited from the categories above G97.1

Not part of this code, but both may be coded when both are present.

Written on G97: Intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified

intraoperative and postprocedural cerebrovascular infarction (I97.81-, I97.82-)

Risk adjustment

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

Medicare coverage

G97.1 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

Complication›lumbar puncture
Complication›puncture, spinal
Headache›lumbar puncture
Headache›postspinal puncture
Headache›spinal fluid loss(from puncture)
Reaction›fluid loss, cerebrospinal
Reaction›lumbar puncture
Reaction›spinal puncture
Syncope›due to spinal puncture(lumbar)
Complication›lumbar puncture›headache or reaction
Complication›postoperative›lumbar puncture
Complication›puncture, spinal›headache or reaction

Code history

Unchanged in every release from FY2024 to FY2027.