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ICD-10-CM 2027

ICD-10 code for aqueduct of Sylvius occlusion

G91.1

Obstructive hydrocephalus

✓ Billable / specificCC — complication/comorbidity

From the official ICD-10-CM alphabetic index entry “Occlusion, occluded › aqueduct of Sylvius”. Page updated September 29, 2026.

About coding aqueduct of Sylvius occlusion

The ICD-10-CM code for aqueduct of Sylvius occlusion is G91.1 (Obstructive hydrocephalus). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on G91.1.

Within G91 (hydrocephalus), G91.1 is specifically for obstructive hydrocephalus. Related codes cover communicating hydrocephalus (G91.0), (Idiopathic) normal pressure hydrocephalus (G91.2), post-traumatic hydrocephalus, unspecified (G91.3), in diseases classified elsewhere (G91.4), other hydrocephalus (G91.8) and unspecified (G91.9).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 056 (Degenerative Nervous System Disorders with MCC, relative weight 2.2655) and DRG 057 (Degenerative Nervous System Disorders without MCC, relative weight 1.2838), in MDC 01 (Diseases and Disorders of the Nervous System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

More specific aqueduct of Sylvius occlusion codes (official index)

  • congenital Q03.0 — Malformations of aqueduct of Sylvius
  • with spina bifida

Common questions about aqueduct of Sylvius occlusion ICD-10 codes

What is the ICD-10 code for aqueduct of Sylvius occlusion?

G91.1 — Obstructive hydrocephalus. More specific codes apply when the documentation supports them: Q03.0.

What is the ICD-10 code for congenital aqueduct of sylvius occlusion?

Q03.0 — Malformations of aqueduct of Sylvius.

Is G91.1 billable?

Yes. G91.1 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can G91.1 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict G91.1 as a principal diagnosis.

Is G91.1 a CC or MCC?

G91.1 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.