G97.41
G97.41: Accidental puncture or laceration of dura during a procedure
Billable / specific codeICD-10-CM
G97.41 is a billable, specific ICD-10-CM code for accidental puncture or laceration of dura during a procedure. It is valid for submission on a claim.
Check G97.41 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- any associated diagnoses or complications
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Incidental (inadvertent) durotomy
Excludes2 inherited from the categories above G97.41
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with G97.41
Their own Excludes1 notes name this code, so the conflict is not listed above.
- G96.11Dural tear
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
G97.41 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
- Durotomy(inadvertent) (incidental)
- Tear, torn›dural
Code history
Unchanged in every release from FY2024 to FY2027.