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    v1.0.28
    OpenPayerBilling CodesIntraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classifiedICD-10-CM m96-intraoperative-and-postprocedural-musculoskeletal-complications
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    ICD-10-CM Code For Intraoperative And Postprocedural Musculoskeletal Complications: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group M96 includes intraoperative and postprocedural complications and disorders of the musculoskeletal system not classified elsewhere, such as postoperative infections, mechanical complications of internal orthopedic devices, and other iatrogenic musculoskeletal injuries. These ICD-10-CM diagnosis codes are used to document perioperative musculoskeletal complications, capturing the procedural relationship, site of involvement, and clinical complexity relevant to the group. Accurate coding within the ICD-10-CM M96 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM M96: Intraoperative And Postprocedural Complications And Disorders Of Musculoskeletal System, Not Elsewhere Classified Overview

    This code group represents complications and disorders of the musculoskeletal system that occur during or after surgical or procedural interventions and that are not classified elsewhere. It targets postoperative infections, mechanical complications, and other iatrogenic musculoskeletal conditions affecting bones, joints, muscles, and connective tissues. Accurate coding is important to reflect clinical complexity and to support correct claim processing and reimbursement.

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    When to Use

    Use a code from this group when a patient has a documented musculoskeletal complication that is temporally and causally related to a procedure and is not otherwise classified elsewhere in the code set. Select the code that identifies the specific complication type and the affected musculoskeletal site to reflect clinical complexity and support accurate billing.

    ICD-10-CM Codes

    36 rows

    ICD-10-CM CodeDescription
    M96.0Pseudarthrosis after fusion or arthrodesis
    M96.1Postlaminectomy syndrome, not elsewhere classified
    M96.2Postradiation kyphosis
    M96.3Postlaminectomy kyphosis
    M96.4Postsurgical lordosis
    M96.5Postradiation scoliosis
    M96.621Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm
    M96.622Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
    M96.629Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm
    M96.631Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm
    M96.632Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
    M96.639Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm
    M96.65Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate
    M96.661Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg
    M96.662Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg
    M96.669Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg
    M96.671Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg
    M96.672Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg
    M96.679Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg
    M96.69Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate

    Showing 1–20 of 36

    DRG Codes

    22 rows

    DRG CodeDescription
    183Major Chest Trauma with MCC
    184Major Chest Trauma with CC
    185Major Chest Trauma without CC/MCC
    456Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with MCC
    457Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC
    458Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC
    551Medical Back Problems with MCC
    552Medical Back Problems without MCC
    559Aftercare, Musculoskeletal System and Connective Tissue with MCC
    560Aftercare, Musculoskeletal System and Connective Tissue with CC
    561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC
    564Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
    565Other Musculoskeletal System and Connective Tissue Diagnoses with CC
    566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC
    791Prematurity with Major Problems
    793Full Term Neonate with Major Problems
    919Complications of Treatment with MCC
    920Complications of Treatment with CC
    921Complications of Treatment without CC/MCC
    963Other Multiple Significant Trauma with MCC

    Showing 1–20 of 22

    Typical Clinical Scenarios

    • An older adult who underwent elective total hip arthroplasty presents to the clinic four weeks postoperatively with increasing hip pain, warmth, and instability at the surgical site. Imaging shows a loosening of the prosthetic femoral component without evidence of infection, and orthopedics documents a mechanical failure related to the implanted device. A code reflecting a postprocedural mechanical complication of a joint prosthesis is assigned. Typical codes: M96.631, M96.632
    • A middle-aged patient is brought to the emergency department after a fall at home two days after spinal fusion surgery, complaining of acute severe back pain and new-onset lower extremity numbness. CT reveals displacement of an internal fixation device with impingement on neural elements, prompting urgent evaluation for revision; the presentation is coded as an intraoperative/postprocedural complication of the vertebral column hardware. Typical codes: M96.810, M96.811
    • A young adult with prior open reduction and internal fixation of a distal radius fracture returns to clinic months later with chronic regional pain, limited wrist motion, and radiographs showing nonunion at the fracture site without infection. The clinician documents a late postprocedural disorder of bone healing related to the prior fixation hardware, and a code for nonunion/ delayed healing after a procedure is assigned. Typical codes: M96.621, M96.622

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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