Reader Questions:
Use Details on CSF Leak Location to Nail Dx
Published on Tue Mar 05, 2024
Question: If a patient suffers from a cerebrospinal fluid (CSF) leak, how should I choose an ICD-10 code for the condition?
Iowa Subscriber
Answer: There are five possible answers to your question — the correct one depends on encounter details. Go back and check the notes. Then, choose from the following diagnosis codes:
- G96.00 (Cerebrospinal fluid leak, unspecified)
- G96.01 (Cranial cerebrospinal fluid leak, spontaneous)
- Alternate terms:
- Otorrhea due to spontaneous cerebrospinal fluid CSF leak
- Rhinorrhea due to spontaneous cerebrospinal fluid CSF leak
- Spontaneous cerebrospinal fluid leak from skull base
- G96.02 (Spinal cerebrospinal fluid leak, spontaneous)
- Alternate terms:
- Spontaneous cerebrospinal fluid leak from spine
- G96.08 (Other cranial cerebrospinal fluid leak)
- Alternate terms:
- Postoperative cranial cerebrospinal fluid leak
- Traumatic cranial cerebrospinal fluid leak
- G96.09 (Other spinal cerebrospinal fluid leak)
- Alternate terms:
- Other spinal CSF leak
- Postoperative spinal cerebrospinal fluid leak
- Traumatic spinal cerebrospinal fluid leak.