G97.0 vs T85.192
G97.0 (Cerebrospinal fluid leak from spinal puncture) compared with T85.192 (Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead)), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. T85.192 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 puncture | T85.192Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead) | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | G00-G99 — Diseases of the Nervous System (G00-G99) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Cerebrospinal fluid leak from spinal puncture is a billable ICD-10-CM diagnosis code (G97.0). | Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead) is a non-billable ICD-10-CM category code (T85.192). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T85 |
| 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