M96

Non-Billable
ChapterM00–M99
Rankcategory
Official Description

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

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99).

CH13 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Instructional Notes

Excludes2(Not included here. Code separately if applicable.)
  • 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)

Clinical Hierarchy

BillableHas subcodes
CH13Diseases of the musculoskeletal system and connective tissue (M00-M99)
M96Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classifiedNot billable
M96.0Pseudarthrosis after fusion or arthrodesisBillable
M96.1Postlaminectomy syndrome, not elsewhere classifiedBillable
M96.2Postradiation kyphosisBillable
M96.3Postlaminectomy kyphosisBillable
M96.4Postsurgical lordosisBillable
M96.5Postradiation scoliosisBillable
M96.6Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plateSubcodes
M96.8Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classifiedSubcodes
M96.AFracture of ribs, sternum and thorax associated with compression of the chest and cardiopulmonary resuscitationSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M96:

chapterCH13
Diseases of the musculoskeletal system and connective tissue (M00-M99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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