G96.81 ICD-10-CM Code: Intracranial hypotension
HCC Buddy Code Card
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FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Other disorders of the nervous system (G89-G99)
G96.81
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceIntracranial hypotension
Intracranial hypotension
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for G96.81 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for G96.81 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for G96.81 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for G96.81 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for G96.81 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for G96.81 in this effective period.
Code Also
Official- any associated diagnoses, such as:
- Brachial amyotrophy (G54.5)
- Cerebrospinal fluid leak from spine (G96.02)
- Cranial nerve disorders in diseases classified elsewhere (G53)
- Nerve root and compressions in diseases classified elsewhere (G55)
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
What This Code Means
G96.81 is the ICD-10-CM diagnosis code for intracranial hypotension. G96.81 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering other disorders of the nervous system (g89-g99).
Header codes like G96.81 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at G96.81's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G96.81 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Code Also
- any associated diagnoses, such as:
- Brachial amyotrophy (G54.5)
- Cerebrospinal fluid leak from spine (G96.02)
- Cranial nerve disorders in diseases classified elsewhere (G53)
- Nerve root and compressions in diseases classified elsewhere (G55)
- Nonpyogenic thrombosis of intracranial venous system (I67.6)
- Nontraumatic intracerebral hemorrhage (I61.-)
- Nontraumatic subdural hemorrhage (I62.0-)
- Other and unspecified cord compression (G95.2-)
- Other secondary parkinsonism (G21.8)
- Reversible cerebrovascular vasoconstriction syndrome (I67.841)
- Spinal cord herniation (G95.89)
- Stroke (I63.-)
- Syringomyelia (G95.0)