2025 ICD-10-CM code G97.1
(Active) Effective Date: N/A Diseases of the nervous system - Other disorders of the nervous system 6 Feed
Other reaction to spinal and lumbar puncture. This includes complications like headaches due to cerebrospinal fluid leaks during the procedure.
Medical necessity relates to the underlying reason for the spinal tap (e.g., infection diagnosis, drug administration). The G97.1 code itself does not drive medical necessity but reflects a complication requiring appropriate management.
Clinicians performing or ordering spinal taps diagnose based on patient history, symptoms, and physical/neurological examinations. Further tests may include CSF analysis and MRI. Treatment varies from conservative measures like rest and fluids to interventions like blood patches or surgery for persistent cases.
In simple words: This code signifies complications arising from a spinal tap, such as headaches from fluid leakage, back pain, nausea, or other reactions.
This code describes adverse reactions following a spinal tap (lumbar puncture), such as headaches, back pain, nausea, vomiting, tinnitus, neck stiffness, diplopia, or transient cortical blindness. These may arise from CSF leaks or other procedural complications.
Example 1: A patient experiences a severe headache after a lumbar puncture, consistent with a CSF leak. This is coded as G97.1., A patient develops back pain and nausea following a spinal tap, representing an adverse reaction (G97.1)., A patient undergoing chemotherapy via lumbar injection experiences transient vision loss after the procedure, potentially linked to an inflammatory reaction. This is coded G97.1
Documentation should include details of the spinal tap procedure, onset and nature of symptoms, physical and neurological findings, CSF test results (if performed), and imaging results. Medical necessity for the procedure and any treatment provided should also be documented.
- Specialties:Neurology, Anesthesiology, Pain Management (for therapeutic injections), potentially others depending on the reason for the initial spinal tap.
- Place of Service:Inpatient Hospital, Outpatient Hospital, Physician's Office