M96.81

M96.81: Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating a procedure

Non-billable headerICD-10-CM

M96.81 is a non-billable header ICD-10-CM code for intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating a procedure. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

intraoperative hemorrhage and hematoma of a musculoskeletal structure due to accidental puncture and laceration during a procedure (M96.82-)

Excludes2 inherited from the categories above M96.81

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

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 M96.81

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.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead M96.81

2 child codes. Green means billable.