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G96.00 vs G97.0

G96.00 (Cerebrospinal fluid leak, unspecified) compared with G97.0 (Cerebrospinal fluid leak from spinal puncture), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. G96.00 carries an Excludes1 note covering G97.0: “cerebrospinal fluid leak from spinal puncture (G97.0)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

G96.00Cerebrospinal fluid leak, unspecifiedG97.0Cerebrospinal fluid leak from spinal puncture
Billing statusBillableBillable
ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)G00-G99 — Diseases of the Nervous System (G00-G99)
DefinitionCerebrospinal fluid leak, unspecified is a billable ICD-10-CM diagnosis code (G96.00).Cerebrospinal fluid leak from spinal puncture is a billable ICD-10-CM diagnosis code (G97.0).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources