G96.11 vs G97.41
G96.11 (Dural tear) compared with G97.41 (Accidental puncture or laceration of dura during a procedure), 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. G96.11 carries an Excludes1 note covering G97.41: “accidental puncture or laceration of dura during a procedure (G97.41)”
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
| G96.11Dural tear | G97.41Accidental puncture or laceration of dura during a procedure | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | G00-G99 — Diseases of the Nervous System (G00-G99) | G00-G99 — Diseases of the Nervous System (G00-G99) |
| Definition | Dural tear is a billable ICD-10-CM diagnosis code (G96.11). | Accidental puncture or laceration of dura during a procedure is a billable ICD-10-CM diagnosis code (G97.41). |
| Includes | — | Incidental (inadvertent) durotomy |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources