2021 ICD-10-CM Diagnosis Code G96.11

Dural tear

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • G96.11 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM G96.11 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of G96.11 - other international versions of ICD-10 G96.11 may differ.
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • intracranial hypotension, if applicable (
    ICD-10-CM Diagnosis Code G96.81

    Intracranial hypotension

      2021 - New Code Non-Billable/Non-Specific Code
    Code Also
    • 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)
    G96.81-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as G96.11. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • accidental puncture or laceration of dura during a procedure (
    ICD-10-CM Diagnosis Code G97.41

    Accidental puncture or laceration of dura during a procedure

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Incidental (inadvertent) durotomy
    Code Also
    • any associated diagnoses or complications
    G97.41
    )
The following code(s) above G96.11 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to G96.11:
  • G00-G99
    2021 ICD-10-CM Range G00-G99

    Diseases of the nervous system

    Type 2 Excludes
    • 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)
    Diseases of the nervous system
Approximate Synonyms
  • Dural tear, nontraumatic
  • Nontraumatic dural tear
ICD-10-CM G96.11 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems
  • 919 Complications of treatment with mcc
  • 920 Complications of treatment with cc
  • 921 Complications of treatment without cc/mcc

Convert G96.11 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change

Diagnosis Index entries containing back-references to G96.11:
  • Tear, torn (traumatic) - see also Laceration
    • dural G97.41
      ICD-10-CM Diagnosis Code G97.41

      Accidental puncture or laceration of dura during a procedure

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Incidental (inadvertent) durotomy
      Code Also
      • any associated diagnoses or complications
      • nontraumatic G96.11

ICD-10-CM Codes Adjacent To G96.11
G95.89 Other specified diseases of spinal cord
G95.9 Disease of spinal cord, unspecified
G96 Other disorders of central nervous system
G96.0 Cerebrospinal fluid leak
G96.00 …… unspecified
G96.01 Cranial cerebrospinal fluid leak, spontaneous
G96.02 Spinal cerebrospinal fluid leak, spontaneous
G96.08 Other cranial cerebrospinal fluid leak
G96.09 Other spinal cerebrospinal fluid leak
G96.1 Disorders of meninges, not elsewhere classified
G96.11 Dural tear
G96.12 Meningeal adhesions (cerebral) (spinal)
G96.19 Other disorders of meninges, not elsewhere classified
G96.191 Perineural cyst
G96.198 Other disorders of meninges, not elsewhere classified
G96.8 Other specified disorders of central nervous system
G96.81 Intracranial hypotension
G96.810 …… unspecified
G96.811 …… spontaneous
G96.819 Other intracranial hypotension
G96.89 Other specified disorders of central nervous system

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.