ICD-10 · PDGM grouping
M96-M96 — Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
Codes in range
36
No clinical group
4
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
32 of the 36 codes in M96-M96 group to Musculoskeletal Rehabilitation. A further 4 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in M96-M96
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in M96-M96
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| M960 | Pseudarthrosis after fusion or arthrodesis | E | Can lead a claim |
| M961 | Postlaminectomy syndrome, not elsewhere classified | E | Can lead a claim |
| M962 | Postradiation kyphosis | E | Can lead a claim |
| M963 | Postlaminectomy kyphosis | E | Can lead a claim |
| M964 | Postsurgical lordosis | E | Can lead a claim |
| M965 | Postradiation scoliosis | E | Can lead a claim |
| M96621 | Fx humerus fol insrt ortho implnt/prosth/bone plt, right arm | E | Can lead a claim |
| M96622 | Fx humerus fol insrt ortho implnt/prosth/bone plt, left arm | E | Can lead a claim |
| M96629 | Fx humerus fol insrt ortho implnt/prosth/bone plt, unsp arm | None | Cannot lead a claim |
| M96631 | Fx rad/ulna fol insrt ortho implnt/prosth/bone plt, r arm | E | Can lead a claim |
| M96632 | Fx rad/ulna fol insrt ortho implnt/prosth/bone plt, left arm | E | Can lead a claim |
| M96639 | Fx rad/ulna fol insrt ortho implnt/prosth/bone plt, unsp arm | None | Cannot lead a claim |
| M9665 | Fx pelvis following insrt ortho implnt/prosth/bone plt | E | Can lead a claim |
| M96661 | Fx femur fol insrt ortho implnt/prosth/bone plt, right leg | E | Can lead a claim |
| M96662 | Fx femur fol insrt ortho implnt/prosth/bone plt, left leg | E | Can lead a claim |
| M96669 | Fx femur fol insrt ortho implnt/prosth/bone plt, unsp leg | None | Cannot lead a claim |
| M96671 | Fx tib/fib fol insrt ortho implnt/prosth/bone plt, right leg | E | Can lead a claim |
| M96672 | Fx tib/fib fol insrt ortho implnt/prosth/bone plt, left leg | E | Can lead a claim |
| M96679 | Fx tib/fib fol insrt ortho implnt/prosth/bone plt, unsp leg | None | Cannot lead a claim |
| M9669 | Fx bone following insrt ortho implnt/prosth/bone plt | E | Can lead a claim |
| M96810 | Intraop hemor/hemtom of a ms structure comp a ms sys proc | E | Can lead a claim |
| M96811 | Intraop hemor/hemtom of a ms structure comp oth procedure | E | Can lead a claim |
| M96820 | Acc pnctr & lac of a ms structure during a ms sys procedure | E | Can lead a claim |
| M96821 | Acc pnctr & lac of a ms structure during oth procedure | E | Can lead a claim |
| M96830 | Postproc hemor of a ms structure fol a ms sys procedure | E | Can lead a claim |
| M96831 | Postproc hemor of a ms structure following other procedure | E | Can lead a claim |
| M96840 | Postproc hematoma of a ms structure fol a ms sys procedure | E | Can lead a claim |
| M96841 | Postproc hematoma of a ms structure fol other procedure | E | Can lead a claim |
| M96842 | Postproc seroma of a ms structure fol a ms sys procedure | E | Can lead a claim |
| M96843 | Postproc seroma of a ms structure following other procedure | E | Can lead a claim |
| M9689 | Oth intraop and postproc comp and disorders of the ms sys | E | Can lead a claim |
| M96A1 | Fx sternum assoc with chest comprsn and cardiopulm resus | E | Can lead a claim |
| M96A2 | Fx one rib assoc with chest comprsn and cardiopulm resus | E | Can lead a claim |
| M96A3 | Mult fx of ribs assoc w chest comprsn and cardiopulm resus | E | Can lead a claim |
| M96A4 | Flail chest assoc with chest comprsn and cardiopulm resus | E | Can lead a claim |
| M96A9 | Other fracture assoc with chest comprsn and cardiopulm resus | E | Can lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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