G96.191 ICD-10-CM Code: Perineural cyst
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 5 inclusion terms
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)
- MS-DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)
- MS-DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for G96.191 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Inclusion Terms
Alternative terms the tabular list files under this code.
- Cervical nerve root cyst
- Lumbar nerve root cyst
- Sacral nerve root cyst
- Tarlov cyst
- Thoracic nerve root cyst
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (6)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
- Cyst (colloid) (mucous) (simple) (retention), nerve root, cervical
- Cyst (colloid) (mucous) (simple) (retention), nerve root, lumbar
- Cyst (colloid) (mucous) (simple) (retention), nerve root, sacral
- Cyst (colloid) (mucous) (simple) (retention), nerve root, thoracic
- Cyst (colloid) (mucous) (simple) (retention), perineural
- Cyst (colloid) (mucous) (simple) (retention), Tarlov
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 3 MS-DRGs: DRG 091 (MDC 01), DRG 092 (MDC 01), DRG 093 (MDC 01).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):NVS020 — Other nervous system disorders (neither hereditary nor degenerative) (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other nervous system disorders (neither hereditary nor degenerative)).
G95.9 — Disease of spinal cord, unspecified, G96.0 — Cerebrospinal fluid leak, G96.00 — Cerebrospinal fluid leak, unspecified, G96.01 — Cranial cerebrospinal fluid leak, spontaneous, G96.02 — Spinal cerebrospinal fluid leak, spontaneous, G96.08 — Other cranial cerebrospinal fluid leak, G96.09 — Other spinal cerebrospinal fluid leak, G96.11 — Dural tear, G96.12 — Meningeal adhesions (cerebral) (spinal), G96.19 — Other disorders of meninges, not elsewhere classified, G96.198 — Other disorders of meninges, not elsewhere classified, G96.8 — Other specified disorders of central nervous system, G96.810 — Intracranial hypotension, unspecified, G96.811 — Intracranial hypotension, spontaneous, G96.819 — Other intracranial hypotension, G96.89 — Other specified disorders of central nervous system, G96.9 — Disorder of central nervous system, unspecified, G98.0 — Neurogenic arthritis, not elsewhere classified, G98.8 — Other disorders of nervous system, G99.8 — Other specified disorders of nervous system in diseases classified elsewhere, +97 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Cyst”; these codes share that main term but sit in a different category of the Tabular List.
D39.10 — Neoplasm of uncertain behavior of unspecified ovary (multilocular), D73.4 — Cyst of spleen (spleen NEC), E04.1 — Nontoxic single thyroid nodule (thyroid), E21.4 — Other specified disorders of parathyroid gland (parathyroid), E23.6 — Other disorders of pituitary gland (pituitary), E27.8 — Other specified disorders of adrenal gland (adrenal gland), E32.8 — Other diseases of thymus (thymus), E34.8 — Other specified endocrine disorders (epiphysis cerebri), G93.0 — Cerebral cysts (dura), G95.89 — Other specified diseases of spinal cord (cauda equina), H02.821 — Cysts of right upper eyelid (eyelid, right, upper), H02.822 — Cysts of right lower eyelid (eyelid, right, lower), H02.823 — Cysts of right eye, unspecified eyelid (eyelid, right), H02.824 — Cysts of left upper eyelid (eyelid, left, upper), H02.825 — Cysts of left lower eyelid (eyelid, left, lower), H02.826 — Cysts of left eye, unspecified eyelid (eyelid, left), H02.829 — Cysts of unspecified eye, unspecified eyelid (eyelid), H04.13 — Lacrimal cyst (lacrimal, gland), H05.81 — Cyst of orbit (orbit), H11.44 — Conjunctival cysts (conjunctiva), +195 more
Lab tests where this diagnosis supports Medicare coverage (NCD)
Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.
Partial Thromboplastin Time (PTT) Test, Prothrombin Time Test and INR (PT/INR)
Contextual Map
Every relationship of G96.191 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- G00-G99 — Chapter 6: Diseases of the Nervous System (G00-G99) (G00-G99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G89-G99 — Other disorders of the nervous system[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Clinical classification (CCSR)
- NVS020 — Other nervous system disorders (neither hereditary nor degenerative)[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC[MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC[MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC[MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 8,892 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries
- Cyst (colloid) (mucous) (simple) (retention), nerve root, cervical[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Cyst (colloid) (mucous) (simple) (retention), nerve root, lumbar[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Cyst (colloid) (mucous) (simple) (retention), nerve root, sacral[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Cyst (colloid) (mucous) (simple) (retention), nerve root, thoracic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Cyst (colloid) (mucous) (simple) (retention), perineural[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Cyst (colloid) (mucous) (simple) (retention), Tarlov[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (19)
- G96 — Other disorders of central nervous system[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G96.0 — Cerebrospinal fluid leak[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G96.00 — Cerebrospinal fluid leak, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G96.01 — Cranial cerebrospinal fluid leak, spontaneous[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G96.02 — Spinal cerebrospinal fluid leak, spontaneous[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G96.08 — Other cranial cerebrospinal fluid leak[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G96.09 — Other spinal cerebrospinal fluid leak[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- G96.1 — Disorders of meninges, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 11 more
Change history
- FY2021 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2021
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "G96.191 — Perineural cyst." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/g96.191-perineural-cyst
Change history
- FY2021 — October 1, 2020Added to the code setPerineural cystFY2021 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to G96.191 in its code family, with their registry titles.
- G96.09 — Other spinal cerebrospinal fluid leak
- G96.1 — Disorders of meninges, not elsewhere classified
- G96.11 — Dural tear
- G96.12 — Meningeal adhesions (cerebral) (spinal)
- G96.19 — Other disorders of meninges, not elsewhere classified
- G96.198 — Other disorders of meninges, not elsewhere classified
- G96.8 — Other specified disorders of central nervous system
- G96.81 — Intracranial hypotension
- G96.810 — Intracranial hypotension, unspecified
- G96.811 — Intracranial hypotension, spontaneous