M96

M96: Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified

Non-billable headerICD-10-CM

M96 is a non-billable header ICD-10-CM code for intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

arthropathy following intestinal bypass (M02.0-)
complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)
disorders associated with osteoporosis (M80)
periprosthetic fracture around internal prosthetic joint (M97.-)
presence of functional implants and other devices (Z96-Z97)

Other codes that can never be billed with M96

Their own Excludes1 notes name this code, so the conflict is not listed above.

M25.3Other instability of joint
M40Kyphosis and lordosis
M96.81Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating a procedure

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead M96

9 child codes. Green means billable.