G96.811 — Intracranial hypotension, spontaneous
Is G96.811 billable?
Yes — G96.811 is billable for FY2027. G96.811 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. G96.811 may be submitted for encounters from October 1, 2026 through September 30, 2027.
G96.811 at a glance
| Code | G96.811 |
|---|---|
| Description | Intracranial hypotension, spontaneous |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does G96.811 group to?
G96.811 sits in MDC 01 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 070Other Cerebrovascular Disorders with MCCmedical
- 071Other Cerebrovascular Disorders with CCmedical
- 072Other Cerebrovascular Disorders without CC/MCCmedical
How is G96.811 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to G96.811. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Hypotension › intracranial › spontaneous (arterial) (constitutional)
Excludes2 — not included here — inherited from Chapter 6
The conditions below are not part of G96.811, but a patient may have both at the same time. When documentation supports it, G96.811 and the excluded code may both 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 — inherited from G96.81
Two codes may be needed to describe the condition fully. Whether G96.811 is sequenced first depends on the reason for the encounter.
- any associated diagnoses, such as:
- Brachial amyotrophy (G54.5)
- Cerebrospinal fluid leak from spine (G96.02)
- Cranial nerve disorders in diseases classified elsewhere (G53)
- Nerve root and compressions in diseases classified elsewhere (G55)
- Nonpyogenic thrombosis of intracranial venous system (I67.6)
- Nontraumatic intracerebral hemorrhage (I61.-)
- Nontraumatic subdural hemorrhage (I62.0-)
- Other and unspecified cord compression (G95.2-)
- Other secondary parkinsonism (G21.8)
- Reversible cerebrovascular vasoconstriction syndrome (I67.841)
- Spinal cord herniation (G95.89)
- Stroke (I63.-)
- Syringomyelia (G95.0)
How long has G96.811 existed?
G96.811 first appears in FY2021 (FY2020 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.