M96.A4
M96.A4: Flail chest associated with chest compression and cardiopulmonary resuscitation
Billable / specific codeICD-10-CM
M96.A4 is a billable, specific ICD-10-CM code for flail chest associated with chest compression and cardiopulmonary resuscitation. It is valid for submission on a claim.
Check M96.A4 with the rest of the claim: free scrubberExcludes2 inherited from the categories above M96.A4
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.A4
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.A4 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
- Flail›chest›associated with chest compression and cardiopulmonary resuscitation
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under M96.A
- M96.A1Fracture of sternum associated with chest compression and cardiopulmonary resuscitation
- M96.A2Fracture of one rib associated with chest compression and cardiopulmonary resuscitation
- M96.A3Multiple fractures of ribs associated with chest compression and cardiopulmonary resuscitation
- M96.A9Other fracture associated with chest compression and cardiopulmonary resuscitation