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v1.0.0
ICD-10 Guide
ICD-10 CodesG06.2

G06.2

Billable

Extradural and subdural abscess, unspecified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G06.2 is a billable code used to indicate a diagnosis of extradural and subdural abscess, unspecified.

Key Diagnostic Point:

Extradural and subdural abscesses are localized collections of pus that occur in the extradural or subdural spaces of the central nervous system (CNS). These abscesses can arise from various infectious processes, including bacterial infections, trauma, or as a complication of neurosurgical procedures. The extradural space is located between the outer layer of the dura mater and the skull, while the subdural space lies between the dura mater and the arachnoid mater. Symptoms may include headache, fever, neurological deficits, and signs of increased intracranial pressure. Diagnosis typically involves imaging studies such as CT or MRI, which can reveal the presence of an abscess. Treatment often requires surgical intervention for drainage, along with antibiotic therapy to address the underlying infection. The unspecified nature of this code indicates that the specific location or cause of the abscess has not been clearly defined, which can complicate treatment and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for imaging studies for accurate diagnosis
  • Potential for multiple underlying causes
  • Differentiation from other CNS infections

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the location of the abscess
  • Lack of imaging results in the medical record
  • Improper coding of associated conditions

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with headache, fever, and neurological deficits requiring imaging.

Billing Considerations

Ensure clear documentation of the abscess location and any associated neurological deficits.

Neurosurgery

Documentation Requirements

Operative reports detailing the surgical approach, drainage procedures, and post-operative care.

Common Clinical Scenarios

Post-operative patients developing abscesses after neurosurgical interventions.

Billing Considerations

Document the surgical indications and any complications that arise during the procedure.

Coding Guidelines

Inclusion Criteria

Use G06.2 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code is used when the abscess is confirmed but not specified
  • Include additional codes for any underlying conditions or complications

Exclusion Criteria

Do NOT use G06.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61154CPT Code

Drainage of intracranial abscess

Clinical Scenario

Used when a patient with G06.2 requires surgical drainage of the abscess.

Documentation Requirements

Operative report detailing the procedure and indication for drainage.

Specialty Considerations

Neurosurgeons must document the surgical approach and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of CNS infections, including extradural and subdural abscesses. This specificity aids in better tracking of these conditions and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of CNS infections, including extradural and subdural abscesses. This specificity aids in better tracking of these conditions and their management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of CNS infections, including extradural and subdural abscesses. This specificity aids in better tracking of these conditions and their management.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between extradural and subdural abscesses?

Extradural abscesses occur between the dura mater and the skull, while subdural abscesses occur between the dura mater and the arachnoid mater. Their management and implications may differ based on their location.