ICD-10 G97.1
Billable / SpecificOther reaction to spinal and lumbar puncture
About ICD-10-CM G97.1
ICD-10-CM code G97.1 represents Other reaction to spinal and lumbar puncture. This is a billable/specific code in the Nervous System chapter (block G97). The 2026 edition of ICD-10-CM G97.1 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under G97.1. Per CMS ICD-10-CM Tabular 2026.
- Headache due to lumbar puncture
- Other reaction to spinal dural puncture
Coding Notes
Code Also
- , if applicable, any associated headache with orthostatic component (R51.0)
Medicare LCD Coverage for G97.1
Local Coverage Determinations (LCDs) from CMS MACs that list G97.1 as a covered diagnosis.
Showing top 10 of 45 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing G97.1.
1 Cigna
3 Medicare
CPT Codes Commonly Billed with G97.1
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert G97.1 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| G97.1 | 3490 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To G97.1
Other codes in section G89-G99 (Other disorders of the nervous system).
ICD-10 G97.1, Billing FAQ
Is ICD-10 code G97.1 billable? +
Yes, G97.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to G97.1? +
ICD-10 G97.1 includes: Headache due to lumbar puncture; Other reaction to spinal dural puncture.
What ICD-9 codes does G97.1 map to? +
Per CMS GEMs, G97.1 maps to ICD-9 codes: 3490. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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