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ICD-10-CM 2027 diagnosis code

G97.41Accidental puncture or laceration of dura during a procedure

✓ Billable / specificCC — complication/comorbidity

G97.41 is a valid, billable ICD-10-CM code for accidental puncture or laceration of dura during a procedure. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Looking up by condition? See ICD-10 code for Durotomy.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About G97.41

G97.41 is the ICD-10-CM diagnosis code for accidental puncture or laceration of dura during a procedure. It belongs to category G97 (intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified), block G89-G99 (other disorders of the nervous system) and chapter 6 (diseases of the nervous system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within G97.4 (accidental puncture and laceration of a nervous system organ or structure during a procedure), G97.41 is specifically for accidental puncture or laceration of dura during a procedure. Related codes cover and laceration of other nervous system organ or structure during a nervous system procedure (G97.48) and and laceration of other nervous system organ or structure during other procedure (G97.49).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 791 (Prematurity with Major Problems, relative weight 4.1075), DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), DRG 919 (Complications of Treatment with MCC, relative weight 1.763), DRG 920 (Complications of Treatment with CC, relative weight 0.9975) and DRG 921 (Complications of Treatment without CC/MCC, relative weight 0.6722), in MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period) and MDC 21 (Injuries, Poisonings and Toxic Effects of Drugs), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 349.31 (accidental puncture or laceration of dura during a procedure).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Incidental (inadvertent) durotomy
Code alsoTwo codes may be needed; sequencing depends on circumstances
  • any associated diagnoses or complications

Notes that apply from higher levels

Instructions written at a parent level also apply to G97.41.

› From G97 Intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified
Excludes2
  • intraoperative and postprocedural cerebrovascular infarction (I97.81-, I97.82-)

Broader instructions also apply from Chapter 6: Diseases of the nervous system.

Alphabetic index entries

2 entries

Terms in the official ICD-10-CM index that lead to G97.41.

Codes whose notes reference G97.41

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

ICD-9-CM equivalent

Converter →
  • 349.31Accidental puncture or laceration of dura during a procedureexact

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about G97.41

Is G97.41 billable?

Yes. G97.41 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can G97.41 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict G97.41 as a principal diagnosis.

Is G97.41 a CC or MCC?

G97.41 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does G97.41 group to?

G97.41 is used in the MS-DRG v44.0 logic for MS-DRG 791 (Prematurity with Major Problems), MS-DRG 793 (Full Term Neonate with Major Problems), MS-DRG 919 (Complications of Treatment with MCC), MS-DRG 920 (Complications of Treatment with CC) and MS-DRG 921 (Complications of Treatment without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for G97.41?

The CMS General Equivalence Mappings map G97.41 to ICD-9-CM 349.31.