ICDcodes.org
FY2027

G97.1 — Other reaction to spinal and lumbar puncture

Billable

Is G97.1 billable?

Yes — G97.1 is billable for FY2027. G97.1 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. G97.1 may be submitted for encounters from October 1, 2026 through September 30, 2027.

G97.1 at a glance

CodeG97.1
DescriptionOther reaction to spinal and lumbar puncture
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does G97.1 group to?

G97.1 sits in MDC 01 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 102Headaches with MCCmedical
  • 103Headaches without MCCmedical

How is G97.1 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to G97.1. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Complication › lumbar puncture (s) (from) (of)
  • Complication › puncture, spinal (s) (from) (of)
  • Headache › lumbar puncture
  • Headache › postspinal puncture
  • Headache › spinal fluid loss
  • Reaction › fluid loss, cerebrospinal
  • Reaction › lumbar puncture
  • Reaction › spinal puncture
  • Syncope › due to spinalpuncture (near) (pre-)
  • Complication › lumbar puncture › headache or reaction (s) (from) (of)
  • Complication › postoperative › lumbar puncture (s) (from) (of)
  • Complication › puncture, spinal › headache or reaction (s) (from) (of)

Code also

Two codes may be needed to describe the condition fully. Whether G97.1 is sequenced first depends on the reason for the encounter.

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

Inclusion terms

Alternative wording in documentation that is classified to G97.1.

  • Headache due to lumbar puncture
  • Other reaction to spinal dural puncture

Excludes2 — not included here — inherited from Chapter 6

The conditions below are not part of G97.1, but a patient may have both at the same time. When documentation supports it, G97.1 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)

Excludes2 — not included here — inherited from G97

The conditions below are not part of G97.1, but a patient may have both at the same time. When documentation supports it, G97.1 and the excluded code may both be reported.

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

How long has G97.1 existed?

G97.1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to G97.1?

What other codes are in the G97 family? (7)