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G97.0 vs T83.9XXA

G97.0 (Cerebrospinal fluid leak from spinal puncture) compared with T83.9XXA (Unspecified complication of genitourinary prosthetic device, implant and graft, initial encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Relationship

Informational

Excludes2 relationship

T83.9XXA
Unspecified complication of genitourinary prosthetic device, implant and graft, initial encounter
G97.0
Cerebrospinal fluid leak from spinal puncture

Distinct conditions — both may be reported.

“cerebrospinal fluid leak from spinal puncture (G97.0)”

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source: CMS ICD-10-CM tabular instructional notes

Can these codes be reported together?

Yes, when both are documented. T83.9XXA carries an Excludes2 note covering G97.0: “cerebrospinal fluid leak from spinal puncture (G97.0)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

G97.0Cerebrospinal fluid leak from spinal punctureT83.9XXAUnspecified complication of genitourinary prosthetic device, implant and graft, initial encounter
Billing statusBillableBillable
ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionCerebrospinal fluid leak from spinal puncture is a billable ICD-10-CM diagnosis code (G97.0).Unspecified complication of genitourinary prosthetic device, implant and graft, initial encounter is a billable ICD-10-CM diagnosis code (T83.9A).
7th characterThe appropriate 7th character is to be added to each code from category T83
Use additional code
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
code to identify devices involved and details of circumstances (Y62-Y82)

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