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ICD-10 Guide
ICD-10 CodesG97.84

G97.84

Billable

Intracranial hypotension following other procedure

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

Code Description

ICD-10 G97.84 is a billable code used to indicate a diagnosis of intracranial hypotension following other procedure.

Key Diagnostic Point:

Intracranial hypotension is a condition characterized by low cerebrospinal fluid (CSF) pressure, which can occur following various medical procedures, particularly those involving the central nervous system. This condition may lead to a range of symptoms, including severe headaches, neck pain, nausea, and visual disturbances. The headaches are often positional, worsening when the patient is upright and improving when lying down. Autonomic dysfunction may also manifest, leading to symptoms such as dizziness, lightheadedness, and changes in heart rate or blood pressure. In some cases, intracranial hypotension can result in secondary complications such as hydrocephalus, where the accumulation of CSF occurs due to impaired absorption or production. The diagnosis typically involves clinical evaluation, imaging studies, and possibly lumbar puncture to measure CSF pressure. Management may include conservative measures such as hydration and caffeine intake, or more invasive procedures like an epidural blood patch to restore CSF pressure. Understanding the nuances of this condition is crucial for accurate coding and appropriate patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of post-procedural complications
  • Differentiation from other types of hypotension
  • Need for precise documentation of the procedure that led to the condition
  • Potential overlap with other neurological disorders

Audit Risk Factors

  • Inadequate documentation of the procedure leading to hypotension
  • Failure to note the onset and duration of symptoms
  • Misclassification of headache types
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed documentation of neurological assessments, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with post-lumbar puncture headaches or those with a history of neurosurgical procedures.

Billing Considerations

Ensure clear linkage between the procedure and the development of intracranial hypotension.

Anesthesiology

Documentation Requirements

Records of anesthesia techniques used, patient monitoring data, and any complications encountered during procedures.

Common Clinical Scenarios

Patients experiencing hypotension following epidural anesthesia or spinal anesthesia.

Billing Considerations

Document the type of anesthesia and any immediate post-procedural symptoms.

Coding Guidelines

Inclusion Criteria

Use G97.84 When
  • According to ICD
  • 10 coding guidelines, G97
  • 84 should be used when intracranial hypotension is directly linked to a specific procedure
  • Coders must ensure that the procedure is documented clearly in the medical record, and any related symptoms or complications are also noted
  • procedural causes

Exclusion Criteria

Do NOT use G97.84 When
  • Exclusion criteria include cases where hypotension is due to spontaneous leaks or other non

Related ICD-10 Codes

Related CPT Codes

62270CPT Code

Lumbar puncture, diagnostic

Clinical Scenario

Used when a lumbar puncture is performed and leads to subsequent intracranial hypotension.

Documentation Requirements

Document the indication for the procedure, patient consent, and any complications noted.

Specialty Considerations

Neurologists should ensure that the procedure's impact on CSF pressure is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like intracranial hypotension, improving the accuracy of patient records and facilitating better management of complications arising from procedures.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like intracranial hypotension, improving the accuracy of patient records and facilitating better management of complications arising from procedures.

Reimbursement & Billing Impact

reimbursement.

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 procedures can lead to G97.84?

Procedures such as lumbar punctures, spinal anesthesia, and craniotomies can lead to intracranial hypotension if cerebrospinal fluid leaks occur.

How can I differentiate between G97.84 and spontaneous intracranial hypotension?

G97.84 is specifically for cases following a procedure, while spontaneous intracranial hypotension occurs without any preceding medical intervention.