2023 ICD-10-CM Diagnosis Code M96.0

Pseudarthrosis after fusion or arthrodesis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • M96.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM M96.0 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of M96.0 - other international versions of ICD-10 M96.0 may differ.
The following code(s) above M96.0 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 M96.0:
  • M00-M99
    2023 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
  • M96
    ICD-10-CM Diagnosis Code M96

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

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • 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)
    Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
Approximate Synonyms
  • Pseudarthrosis after spinal fusion
  • Pseudarthrosis following spinal fusion
  • Pseudoarthrosis
  • Pseudoarthrosis of spine
  • Pseudoarthrosis spine
ICD-10-CM M96.0 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 559 Aftercare, musculoskeletal system and connective tissue with mcc
  • 560 Aftercare, musculoskeletal system and connective tissue with cc
  • 561 Aftercare, musculoskeletal system and connective tissue without cc/mcc

Convert M96.0 to ICD-9-CM

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
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to M96.0:
  • Type 2 Excludes: M43.2
    ICD-10-CM Diagnosis Code M43.2

    Fusion of spine

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Ankylosis of spinal joint
    Type 1 Excludes
    • ankylosing spondylitis (M45.0-)
    • congenital fusion of spine (Q76.4)
    Type 2 Excludes
    • arthrodesis status (Z98.1)
    • pseudoarthrosis after fusion or arthrodesis (M96.0)

Diagnosis Index entries containing back-references to M96.0:
  • Complication(s) (from) (of)
    • musculoskeletal system - see also Complication, intraoperative (intraprocedural), by site
      • postoperative (postprocedural) M96.89
        ICD-10-CM Diagnosis Code M96.89

        Other intraoperative and postprocedural complications and disorders of the musculoskeletal system

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        Applicable To
        • Instability of joint secondary to removal of joint prosthesis
        Use Additional
        • code, if applicable, to further specify disorder
        • pseudarthrosis M96.0
    • orthopedic - see also Disorder, soft tissue
      • postprocedural M96.89
        ICD-10-CM Diagnosis Code M96.89

        Other intraoperative and postprocedural complications and disorders of the musculoskeletal system

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        Applicable To
        • Instability of joint secondary to removal of joint prosthesis
        Use Additional
        • code, if applicable, to further specify disorder
        • pseudarthrosis post-fusion M96.0
  • Nonunion
    • joint, following fusion or arthrodesis M96.0
  • Pseudarthrosis, pseudoarthrosis (bone) - see Nonunion, fracture
    • joint, following fusion or arthrodesis M96.0

ICD-10-CM Codes Adjacent To M96.0
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
M96.629 …… unspecified arm

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