G97.41 Accidental puncture or laceration of dura during a procedure

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• Incidental (inadvertent) durotomy

Code also

• any associated diagnoses or complications

Applies from G97 Intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified

Excludes2 (not included here)

• intraoperative and postprocedural cerebrovascular infarction (I97.81-, I97.82-)

MS-DRG index

Defines the logic of DRG(s) 791 in MDC 15.

Approximate ICD-9-CM (GEMs)

• 349.31 Accidental puncture or laceration of dura during a procedure

Code annotations containing back-references to G97.41

Back-references to G97.41

• Type 1 Excludes: G96.11 Dural tear ("accidental puncture or laceration of dura during a procedure (G97.41)")
• Code Also: G97.84 Intracranial hypotension following other procedure ("accidental puncture or laceration of dura during a procedure (G97.41)")

Back-references to G97.4

• Type 1 Excludes: G97.3 Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure ("intraoperative hemorrhage and hematoma of a nervous system organ or structure due to accidental puncture and laceration during a procedure (G97.4-)")
• Type 2 Excludes: I97.5 Accidental puncture and laceration of a circulatory system organ or structure during a procedure ("accidental puncture and laceration of brain during a procedure (G97.4-)")
• Type 2 Excludes: T81 Complications of procedures, not elsewhere classified ("intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)")

Diagnosis Index entries for G97.41

• Durotomy (inadvertent) (incidental)
• Tear, torn (traumatic) › dural

Nearby codes

• G97.2 Intracranial hypotension following ventricular shunting
• G97.3 Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a procedure
• G97.31 Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure
• G97.32 Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure
• G97.4 Accidental puncture and laceration of a nervous system organ or structure during a procedure
• G97.41 Accidental puncture or laceration of dura during a procedure (this code)
• G97.48 Accidental puncture and laceration of other nervous system organ or structure during a nervous system procedure
• G97.49 Accidental puncture and laceration of other nervous system organ or structure during other procedure
• G97.5 Postprocedural hemorrhage of a nervous system organ or structure following a procedure
• G97.51 Postprocedural hemorrhage of a nervous system organ or structure following a nervous system procedure
• G97.52 Postprocedural hemorrhage of a nervous system organ or structure following other procedure