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ICD-10-CM 2027

ICD-10 code for Postspinal puncture headache

G97.1

Other reaction to spinal and lumbar puncture

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Headache › postspinal puncture”. Page updated September 29, 2026.

About coding Postspinal puncture headache

The ICD-10-CM code for Postspinal puncture headache is G97.1 (Other reaction to spinal and lumbar puncture).

Within G97, choose G97.1 (Other reaction to spinal and lumbar puncture) only when documentation doesn't support a more specific option: cerebrospinal fluid leak from spinal puncture (G97.0), intracranial hypotension following ventricular shunting (G97.2), intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure (G97.3), accidental puncture and laceration of a nervous system organ or structure during a procedure (G97.4), postprocedural hemorrhage of a nervous system organ or structure following a procedure (G97.5), postprocedural hematoma and seroma of a nervous system organ or structure following a procedure (G97.6) and other intraoperative and postprocedural complications and disorders of nervous system (G97.8).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 102 (Headaches with MCC, relative weight 1.1201), DRG 103 (Headaches without MCC, relative weight 0.822), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 01 (Diseases and Disorders of the Nervous System) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

Common questions about Postspinal puncture headache ICD-10 codes

What is the ICD-10 code for Postspinal puncture headache?

G97.1 — Other reaction to spinal and lumbar puncture.

Is G97.1 billable?

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

Can G97.1 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict G97.1 as a principal diagnosis.

Is G97.1 a CC or MCC?

No. G97.1 is neither a CC nor an MCC under MS-DRG v44.0.