Other disorders of central nervous system
In Other disorders of the nervous system (G89-G99), chapter 6: Diseases of the Nervous System
14 billable codes under G96: 6 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers default dominant or nondominant side for hemiplegia and monoplegia, and use and sequencing of G89 pain codes, including postoperative, chronic, and neoplasm-related pain.
- Dominant/nondominant side (page 45)
- Pain - Category G89 (page 45)
All codes under G96
G96 can't be used on a claim. Pick a billable code below; grey headings group them.
- G96.0Cerebrospinal fluid leak
- G96.00Cerebrospinal fluid leak, unspecified
- G96.01Cranial cerebrospinal fluid leak, spontaneous
- G96.02Spinal cerebrospinal fluid leak, spontaneous
- G96.08Other cranial cerebrospinal fluid leak
- G96.09Other spinal cerebrospinal fluid leak
- G96.1Disorders of meninges, not elsewhere classified
- G96.11Dural tear
- G96.12Meningeal adhesions (cerebral) (spinal)
- G96.19Other disorders of meninges, not elsewhere classified
- G96.191Perineural cyst
- G96.198Other disorders of meninges, not elsewhere classified
- G96.8Other specified disorders of central nervous system
- G96.81Intracranial hypotension
- G96.810Intracranial hypotension, unspecified
- G96.811Intracranial hypotension, spontaneous
- G96.819Other intracranial hypotension
- G96.89Other specified disorders of central nervous system
- G96.9Disorder of central nervous system, unspecified
G96 MS-DRGs
As the principal diagnosis, the billable codes under G96 group to these 14 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 091 Other Disorders of Nervous System with MCC (8 of 14 codes)
- DRG 092 Other Disorders of Nervous System with CC (8 of 14 codes)
- DRG 093 Other Disorders of Nervous System without CC/MCC (8 of 14 codes)
- DRG 791 Prematurity with Major Problems (6 of 14 codes)
- DRG 793 Full Term Neonate with Major Problems (6 of 14 codes)
- DRG 070 Other Cerebrovascular Disorders with MCC (5 of 14 codes)
- DRG 071 Other Cerebrovascular Disorders with CC (5 of 14 codes)
- DRG 072 Other Cerebrovascular Disorders without CC/MCC (5 of 14 codes)
- DRG 919 Complications of Treatment with MCC (1 of 14 codes)
- DRG 920 Complications of Treatment with CC (1 of 14 codes)
- DRG 921 Complications of Treatment without CC/MCC (1 of 14 codes)
- DRG 974 HIV with Major Related Condition with MCC (1 of 14 codes)
- DRG 975 HIV with Major Related Condition with CC (1 of 14 codes)
- DRG 976 HIV with Major Related Condition without CC/MCC (1 of 14 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Brain Diseases
Your brain is the control center of your body. It controls your thoughts, memory, speech, and movement. It regulates the function of many organs. It's part of your nervous system, which also includes your spinal cord and peripheral nerves. The nervous system sends signals between your brain and the rest of the body. Your nerves take in information from your senses and send it to the brain to be processed. Your brain and nerves also communicate to help you move and to control your body's functions.
Read more about brain diseases on MedlinePlusSpinal Cord Diseases
Your spinal cord is a bundle of nerves that runs down the middle of your back. It carries signals back and forth between your body and your brain. It is protected by your vertebrae, which are the bone disks that make up your spine. If you have an accident that damages the vertebrae or other parts of the spine, this can also injure the spinal cord. Other spinal cord problems include:
Read more about spinal cord diseases on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.