M96.89

M96.89: Other intraoperative and postprocedural complications and disorders of the musculoskeletal system

Billable / specific codeICD-10-CM

M96.89 is a billable, specific ICD-10-CM code for other intraoperative and postprocedural complications and disorders of the musculoskeletal system. It is valid for submission on a claim.

Check M96.89 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code, if applicable, to further specify disorder

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Instability of joint secondary to removal of joint prosthesis

Excludes2 inherited from the categories above M96.89

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 M96.89

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

M96.89 is named in 7 Medicare coverage policies: 0 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

Scoliosis›postprocedural
Complication›musculoskeletal system›post radiation
Complication›musculoskeletal system›postoperative(postprocedural)
Complication›orthopedic›postprocedural
Disorder›musculoskeletal system, soft tissue›postprocedural
Unstable›joint›secondary to removal of joint prosthesis
Complication›intraoperative›specified NEC›musculoskeletal structure
Complication›musculoskeletal system›post radiation›specified complication NEC
Complication›musculoskeletal system›postoperative›joint instability after prosthesis removal
Complication›musculoskeletal system›postoperative›specified complication NEC
Complication›orthopedic›postprocedural›specified type NEC
Complication›postprocedural›specified NEC›musculoskeletal structure

Code history

Unchanged in every release from FY2024 to FY2027.