DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified

  • Header · not billable

M96 is not billable. The category heads 36 billable codes in FY2027, grouped under 9 subdivisions.

Index → code

  • Postlaminectomy syndrome NEC → M96.1
  • Syndromepostlaminectomy NEC → M96.1
  • Complication(s) (from) (of)surgical procedure (on)postlaminectomy syndrome NEC → M96.1

Where it sits

  1. Chapter 13 Diseases of the musculoskeletal system and connective tissue (M00-M99)
  2. M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified (M96)
  3. M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
Billable codes
36
Subdivisions
9
CC / MCC codes
30 / 1
HCC V28 codes
0
New FY2027
0
Index entries
71

Codes in M96

  1. M96.0
    Pseudarthrosis after fusion or arthrodesis
    BillableCC
  2. M96.1
    Postlaminectomy syndrome, not elsewhere classified 1 billable code
    Billable
  3. M96.2
    Postradiation kyphosis
    Billable
  4. M96.3
    Postlaminectomy kyphosis
    Billable
  5. M96.4
    Postsurgical lordosis
    Billable
  6. M96.5
    Postradiation scoliosis
    Billable
  7. M96.6
    Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate
    Header
    Inclusion terms 1, Excludes2 1

    Inclusion terms

    • Intraoperative fracture of bone during insertion of orthopedic implant, joint prosthesis, or bone plate

    Excludes2

    • complication of internal orthopedic devices, implants or grafts (T84.-) T84
  8. M96.62
    Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate
    Header
  9. M96.621
    Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm
    BillableCC
  10. M96.622
    Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
    BillableCC
  11. M96.629
    Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm
    BillableCC
  12. M96.63
    Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate
    Header
  13. M96.631
    Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm
    BillableCC
  14. M96.632
    Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
    BillableCC
  15. M96.639
    Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm
    BillableCC
  16. M96.65
    Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate
    BillableCC
  17. M96.66
    Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate
    Header
  18. M96.661
    Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg
    BillableCC
  19. M96.662
    Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg
    BillableCC
  20. M96.669
    Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg
    BillableCC
  21. M96.67
    Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate
    Header
  22. M96.671
    Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg
    BillableCC
  23. M96.672
    Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg
    BillableCC
  24. M96.679
    Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg
    BillableCC
  25. M96.69
    Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate
    BillableCC
  26. M96.8
    Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
    Header
  27. M96.81
    Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating a procedure
    Header
    Excludes1 1

    Excludes1

    • intraoperative hemorrhage and hematoma of a musculoskeletal structure due to accidental puncture and laceration during a procedure (M96.82-) M96.82
  28. M96.810
    Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating a musculoskeletal system procedure
    BillableCC
  29. M96.811
    Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating other procedure
    BillableCC
  30. M96.82
    Accidental puncture and laceration of a musculoskeletal structure during a procedure
    Header
  31. M96.820
    Accidental puncture and laceration of a musculoskeletal structure during a musculoskeletal system procedure
    BillableCC
  32. M96.821
    Accidental puncture and laceration of a musculoskeletal structure during other procedure
    BillableCC
  33. M96.83
    Postprocedural hemorrhage of a musculoskeletal structure following a procedure
    Header
  34. M96.830
    Postprocedural hemorrhage of a musculoskeletal structure following a musculoskeletal system procedure
    BillableCC
  35. M96.831
    Postprocedural hemorrhage of a musculoskeletal structure following other procedure
    BillableCC
  36. M96.84
    Postprocedural hematoma and seroma of a musculoskeletal structure following a procedure
    Header
  37. M96.840
    Postprocedural hematoma of a musculoskeletal structure following a musculoskeletal system procedure
    BillableCC
  38. M96.841
    Postprocedural hematoma of a musculoskeletal structure following other procedure
    BillableCC
  39. M96.842
    Postprocedural seroma of a musculoskeletal structure following a musculoskeletal system procedure
    BillableCC
  40. M96.843
    Postprocedural seroma of a musculoskeletal structure following other procedure
    BillableCC
  41. M96.89
    Other intraoperative and postprocedural complications and disorders of the musculoskeletal system
    BillableCC
    Inclusion terms 1, Use additional code 1

    Inclusion terms

    • Instability of joint secondary to removal of joint prosthesis

    Use additional code

    • code, if applicable, to further specify disorder
  42. M96.A
    Fracture of ribs, sternum and thorax associated with compression of the chest and cardiopulmonary resuscitation
    Header
  43. M96.A1
    Fracture of sternum associated with chest compression and cardiopulmonary resuscitation
    BillableCC
    Inclusion terms 1

    Inclusion terms

    • Fracture of xiphoid process associated with chest compression and cardiopulmonary resuscitation
  44. M96.A2
    Fracture of one rib associated with chest compression and cardiopulmonary resuscitation
    BillableCC
  45. M96.A3
    Multiple fractures of ribs associated with chest compression and cardiopulmonary resuscitation
    BillableCC
  46. M96.A4
    Flail chest associated with chest compression and cardiopulmonary resuscitation
    BillableMCC
  47. M96.A9
    Other fracture associated with chest compression and cardiopulmonary resuscitation
    BillableCC

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

At M96

Excludes2

  • arthropathy following intestinal bypass (M02.0-) M02.0
  • complications of internal orthopedic prosthetic devices, implants and grafts (T84.-) T84
  • disorders associated with osteoporosis (M80) M80
  • periprosthetic fracture around internal prosthetic joint (M97.-) M97
  • presence of functional implants and other devices (Z96-Z97) Z96 Z97

Notes that also apply

Chapter 13 instructions (Notes 1, Excludes2 10): printed on the chapter 13 page.

Index entries

  • Nonunionjoint, following fusion or arthrodesis → M96.0
  • Pseudarthrosis, pseudoarthrosis (bone)joint, following fusion or arthrodesis → M96.0
  • Kyphosis, kyphotic (acquired)postradiation therapy → M96.2
  • Kyphosis, kyphotic (acquired)postlaminectomy → M96.3
  • Lordosispostsurgical → M96.4
  • Scoliosis (acquired) (postural)postradiation therapy → M96.5
  • Fracture, traumatic (abduction) (adduction) (separation)following insertion (intraoperative) (postoperative) of orthopedic implant, joint prosthesis or bone plate → M96.69
  • Scoliosis (acquired) (postural)postprocedural → M96.89
  • Fracture, traumatic (abduction) (adduction) (separation)associated with chest compression and cardiopulmonary resuscitation → M96.A9
  • Complication(s) (from) (of)radiationkyphosis → M96.2
  • Complication(s) (from) (of)radiationscoliosis → M96.5
  • Fracture, traumatic (abduction) (adduction) (separation)following insertion (intraoperative) (postoperative) of orthopedic implant, joint prosthesis or bone platehumerus → M96.62-
  • Fracture, traumatic (abduction) (adduction) (separation)humerusfollowing insertion of implant, prosthesis or plate → M96.62-
  • Fracture, traumatic (abduction) (adduction) (separation)following insertion (intraoperative) (postoperative) of orthopedic implant, joint prosthesis or bone plateradius → M96.63-
  • Fracture, traumatic (abduction) (adduction) (separation)following insertion (intraoperative) (postoperative) of orthopedic implant, joint prosthesis or bone plateulna → M96.63-
  • Fracture, traumatic (abduction) (adduction) (separation)radiusfollowing insertion of implant, prosthesis or plate → M96.63-
  • Fracture, traumatic (abduction) (adduction) (separation)ulna (shaft)following insertion of implant, prosthesis or plate → M96.63-
  • Fracture, traumatic (abduction) (adduction) (separation)following insertion (intraoperative) (postoperative) of orthopedic implant, joint prosthesis or bone platepelvis → M96.65
  • Fracture, traumatic (abduction) (adduction) (separation)pelvis, pelvic (bone)following insertion of implant, prosthesis or plate → M96.65
  • Fracture, traumatic (abduction) (adduction) (separation)femur, femoralfollowing insertion of implant, prosthesis or plate → M96.66-
  • Fracture, traumatic (abduction) (adduction) (separation)following insertion (intraoperative) (postoperative) of orthopedic implant, joint prosthesis or bone platefemur → M96.66-
  • Fracture, traumatic (abduction) (adduction) (separation)fibula (shaft) (styloid)following insertion of implant, prosthesis or plate → M96.67-
  • Fracture, traumatic (abduction) (adduction) (separation)following insertion (intraoperative) (postoperative) of orthopedic implant, joint prosthesis or bone platefibula → M96.67-
  • Fracture, traumatic (abduction) (adduction) (separation)following insertion (intraoperative) (postoperative) of orthopedic implant, joint prosthesis or bone platetibia → M96.67-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)following insertion of implant, prosthesis or plate → M96.67-
  • Fracture, traumatic (abduction) (adduction) (separation)following insertion (intraoperative) (postoperative) of orthopedic implant, joint prosthesis or bone platespecified bone NEC → M96.69
  • Complication(s) (from) (of)musculoskeletal systempostoperative (postprocedural) → M96.89
  • Complication(s) (from) (of)musculoskeletal systempost radiation → M96.89
  • Complication(s) (from) (of)orthopedicpostprocedural → M96.89
  • Disorder (of)musculoskeletal system, soft tissuepostprocedural → M96.89
  • Unstablejointsecondary to removal of joint prosthesis → M96.89
  • Fracture, traumatic (abduction) (adduction) (separation)sternumassociated with chest compression and cardiopulmonary resuscitation → M96.A1
  • Fracture, traumatic (abduction) (adduction) (separation)xiphisternum, xiphoid (process)associated with chest compression and cardiopulmonary resuscitation → M96.A1
  • Fracture, traumatic (abduction) (adduction) (separation)ribassociated with chest compression and cardiopulmonary resuscitation → M96.A2
  • Flailchestassociated with chest compression and cardiopulmonary resuscitation → M96.A4
  • Complication(s) (from) (of)musculoskeletal systempostoperative (postprocedural)pseudarthrosis → M96.0
  • Complication(s) (from) (of)orthopedicpostproceduralpseudarthrosis post-fusion → M96.0
  • Complication(s) (from) (of)musculoskeletal systempost radiationkyphosis → M96.2
  • Complication(s) (from) (of)surgical procedure (on)postlaminectomy syndrome NECkyphosis → M96.3
  • Complication(s) (from) (of)musculoskeletal systempostoperative (postprocedural)lordosis → M96.4

31 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.