M96.4
M96.4: Postsurgical lordosis
Billable / specific codeICD-10-CM
M96.4 is a billable, specific ICD-10-CM code for postsurgical lordosis. It is valid for submission on a claim.
Check M96.4 with the rest of the claim: free scrubberExcludes2 inherited from the categories above M96.4
Not part of this code, but both may be coded when both are present.
Written on M96: Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
Other codes that can never be billed with M96.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M40Kyphosis and lordosis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M96.4 is named in 17 Medicare coverage policies: 10 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Alphabetic index entries that lead here
- Lordosis›postsurgical
- Complication›musculoskeletal system›postoperative›lordosis
- Complication›orthopedic›postprocedural›postlaminectomy syndrome NEC›lordosis
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M96
- M96.0Pseudarthrosis after fusion or arthrodesis
- M96.1Postlaminectomy syndrome, not elsewhere classified
- M96.2Postradiation kyphosis
- M96.3Postlaminectomy kyphosis
- M96.5Postradiation scoliosis
- M96.6Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate
- M96.8Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
- M96.AFracture of ribs, sternum and thorax associated with compression of the chest and cardiopulmonary resuscitation