2020 ICD-10-CM Diagnosis Code M96

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

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • M96 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • Short description: Intraop and postproc comp and disorders of ms sys, NEC
  • The 2020 edition of ICD-10-CM M96 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of M96 - other international versions of ICD-10 M96 may differ.
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (M96) and the excluded code together.
  • arthropathy following intestinal bypass (
    ICD-10-CM Diagnosis Code M02.0

    Arthropathy following intestinal bypass

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    M02.0-
    )
  • complications of internal orthopedic prosthetic devices, implants and grafts (
    ICD-10-CM Diagnosis Code T84
    • T84.0 Mechanical complication of internal joint prosthesis
    • T84.1 Mechanical complication of internal fixation device of bones of limb
    • T84.2 Mechanical complication of internal fixation device of other bones
    • T84.3 Mechanical complication of other bone devices, implants and grafts
    • T84.4 Mechanical complication of other internal orthopedic devices, implants and grafts
    • T84.5 Infection and inflammatory reaction due to internal joint prosthesis
    • T84.6 Infection and inflammatory reaction due to internal fixation device
    • T84.7 Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts
    • T84.8 Other specified complications of internal orthopedic prosthetic devices, implants and grafts
    • T84.9 Unspecified complication of internal orthopedic prosthetic device, implant and graft
    T84.-
    )
  • disorders associated with osteoporosis (
    ICD-10-CM Diagnosis Code M80

    Osteoporosis with current pathological fracture

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • osteoporosis with current fragility fracture
    Type 1 Excludes
    • collapsed vertebra NOS (M48.5)
    • pathological fracture NOS (M84.4)
    • wedging of vertebra NOS (M48.5)
    Type 2 Excludes
    • personal history of (healed) osteoporosis fracture (Z87.310)
    Use Additional
    • code to identify major osseous defect, if applicable (M89.7-)
    M80
    )
  • periprosthetic fracture around internal prosthetic joint (
    ICD-10-CM Diagnosis Code M97
    • M97 Periprosthetic fracture around internal prost...
      • M97.0 Periprosthetic fracture around internal prost...
        • M97.01 Periprosthetic fracture around internal prost...
          • M97.01XA Periprosthetic fracture around internal prost...
          • M97.01XD Periprosthetic fracture around internal prost...
          • M97.01XS Periprosthetic fracture around internal prost...
        • M97.02 Periprosthetic fracture around internal prost...
          • M97.02XA Periprosthetic fracture around internal prost...
          • M97.02XD Periprosthetic fracture around internal prost...
          • M97.02XS Periprosthetic fracture around internal prost...
      • M97.1 Periprosthetic fracture around internal prost...
        • M97.11 Periprosthetic fracture around internal prost...
          • M97.11XA Periprosthetic fracture around internal prost...
          • M97.11XD Periprosthetic fracture around internal prost...
          • M97.11XS Periprosthetic fracture around internal prost...
        • M97.12 Periprosthetic fracture around internal prost...
          • M97.12XA Periprosthetic fracture around internal prost...
          • M97.12XD Periprosthetic fracture around internal prost...
          • M97.12XS Periprosthetic fracture around internal prost...
      • M97.2 Periprosthetic fracture around internal prost...
        • M97.21 Periprosthetic fracture around internal prost...
          • M97.21XA Periprosthetic fracture around internal prost...
          • M97.21XD Periprosthetic fracture around internal prost...
          • M97.21XS Periprosthetic fracture around internal prost...
        • M97.22 Periprosthetic fracture around internal prost...
          • M97.22XA Periprosthetic fracture around internal prost...
          • M97.22XD Periprosthetic fracture around internal prost...
          • M97.22XS Periprosthetic fracture around internal prost...
      • M97.3 Periprosthetic fracture around internal prost...
        • M97.31 Periprosthetic fracture around internal prost...
          • M97.31XA Periprosthetic fracture around internal prost...
          • M97.31XD Periprosthetic fracture around internal prost...
          • M97.31XS Periprosthetic fracture around internal prost...
        • M97.32 Periprosthetic fracture around internal prost...
          • M97.32XA Periprosthetic fracture around internal prost...
          • M97.32XD Periprosthetic fracture around internal prost...
          • M97.32XS Periprosthetic fracture around internal prost...
      • M97.4 Periprosthetic fracture around internal prost...
        • M97.41 Periprosthetic fracture around internal prost...
          • M97.41XA Periprosthetic fracture around internal prost...
          • M97.41XD Periprosthetic fracture around internal prost...
          • M97.41XS Periprosthetic fracture around internal prost...
        • M97.42 Periprosthetic fracture around internal prost...
          • M97.42XA Periprosthetic fracture around internal prost...
          • M97.42XD Periprosthetic fracture around internal prost...
          • M97.42XS Periprosthetic fracture around internal prost...
      • M97.8 Periprosthetic fracture around other internal...
        • M97.8XXA Periprosthetic fracture around other internal...
        • M97.8XXD Periprosthetic fracture around other internal...
        • M97.8XXS Periprosthetic fracture around other internal...
      • M97.9 Periprosthetic fracture around unspecified in...
        • M97.9XXA Periprosthetic fracture around unspecified in...
        • M97.9XXD Periprosthetic fracture around unspecified in...
        • M97.9XXS Periprosthetic fracture around unspecified in...
    M97.-
    )
  • presence of functional implants and other devices (
    ICD-10-CM Diagnosis Code Z96

    Presence of other functional implants

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • complications of internal prosthetic devices, implants and grafts (T82-T85)
    • fitting and adjustment of prosthetic and other devices (Z44-Z46)
    Z96
    -
    ICD-10-CM Diagnosis Code Z97

    Presence of other devices

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • complications of internal prosthetic devices, implants and grafts (T82-T85)
    Type 2 Excludes
    • fitting and adjustment of prosthetic and other devices (Z44-Z46)
    • presence of cerebrospinal fluid drainage device (Z98.2)
    Z97
    )
The following code(s) above M96 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M96:
  • M00-M99
    2020 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • 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)
    Diseases of the musculoskeletal system and connective tissue
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to M96:
  • Type 1 Excludes: M40
    , M41
    ICD-10-CM Diagnosis Code M40

    Kyphosis and lordosis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital kyphosis and lordosis (Q76.4)
    • kyphoscoliosis (M41.-)
    • postprocedural kyphosis and lordosis (M96.-)
    ICD-10-CM Diagnosis Code M41

    Scoliosis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • kyphoscoliosis
    Type 1 Excludes
    • congenital scoliosis NOS (Q67.5)
    • congenital scoliosis due to bony malformation (Q76.3)
    • postural congenital scoliosis (Q67.5)
    • kyphoscoliotic heart disease (I27.1)
    • postprocedural scoliosis (M96.-)
  • Type 2 Excludes: T81
    , M95
    ICD-10-CM Diagnosis Code T81

    Complications of procedures, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    Use Additional
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    ICD-10-CM Diagnosis Code M95

    Other acquired deformities of musculoskeletal system and connective tissue

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • acquired absence of limbs and organs (Z89-Z90)
    • acquired deformities of limbs (M20-M21)
    • congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
    • deforming dorsopathies (M40-M43)
    • dentofacial anomalies [including malocclusion] (M26.-)
    • postprocedural musculoskeletal disorders (M96.-)
ICD-10-CM Codes Adjacent To M96
M95.1 Cauliflower ear
M95.10 …… unspecified ear
M95.11 …… right ear
M95.12 …… left ear
M95.2 Other acquired deformity of head
M95.3 Acquired deformity of neck
M95.4 Acquired deformity of chest and rib
M95.5 Acquired deformity of pelvis
M95.8 Other specified acquired deformities of musculoskeletal system
M95.9 Acquired deformity of musculoskeletal system, unspecified
M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
M96.0 Pseudarthrosis after fusion or arthrodesis
M96.1 Postlaminectomy syndrome, not elsewhere classified
M96.2 Postradiation kyphosis
M96.3 Postlaminectomy kyphosis
M96.4 Postsurgical lordosis
M96.5 Postradiation scoliosis
M96.6 Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate
M96.62 Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate
M96.621 …… right arm
M96.622 …… left arm

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.