G96.01 vs G97.0
G96.01 (Cranial cerebrospinal fluid leak, spontaneous) 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. G96.01 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
| G96.01Cranial cerebrospinal fluid leak, spontaneous | G97.0Cerebrospinal fluid leak from spinal puncture | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | G00-G99 — Diseases of the Nervous System (G00-G99) | G00-G99 — Diseases of the Nervous System (G00-G99) |
| Definition | Cranial cerebrospinal fluid leak, spontaneous is a billable ICD-10-CM diagnosis code (G96.01). | Cerebrospinal fluid leak from spinal puncture is a billable ICD-10-CM diagnosis code (G97.0). |
| Includes | Otorrhea due to spontaneous cerebrospinal fluid CSF leak Rhinorrhea due to spontaneous cerebrospinal fluid CSF leak Spontaneous cerebrospinal fluid leak from skull base | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources