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M02.0 vs M96.A1

M02.0 (Arthropathy following intestinal bypass) compared with M96.A1 (Fracture of sternum associated with chest compression and cardiopulmonary resuscitation), from the official CMS tabular data.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Summary

These codes can be reported together when both conditions are documented, because M96.A1 lists M02.0 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named and billing status.M02.0 is “Arthropathy following intestinal bypass”; M96.A1 is “Fracture of sternum associated with chest compression and cardiopulmonary resuscitation”. M02.0 is a non-billable header; M96.A1 is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.M96.A1 lists M02.0 under Excludes2: “arthropathy following intestinal bypass (M02.0-)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes2 relationship?

Yes.M96.A1’s tabular entry: “arthropathy following intestinal bypass (M02.0-)”. The note covers M02.0.

Official ruleGuide: Excludes1 vs Excludes2

Is one a parent or header code?

One is a header.M02.0 is a non-billable header, but M96.A1 is not one of its subdivisions.

Registry fact

Nothing found in 3 other checks; 1 check does not apply
Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. M02.0 carries 8 Excludes1 notes covering other codes; the side-by-side table quotes them.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

M96.A1
Fracture of sternum associated with chest compression and cardiopulmonary resuscitation
↔
M02.0
Arthropathy following intestinal bypass

What we found

Yes, when both are documented.M96.A1 carries an Excludes2 note covering M02.0: “arthropathy following intestinal bypass (M02.0-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2027

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.

Official descriptionDiffers
M02.0

Arthropathy following intestinal bypass

M96.A1

Fracture of sternum associated with chest compression and cardiopulmonary resuscitation

StatusDiffers
M02.0
Non-billable header

A header is not reported on a claim; a code beneath it is.

Report instead: M02.00, M02.011, M02.012, M02.019, M02.021

M96.A1
Billable
Excludes1Differs
M02.0
  • Behçet's disease (M35.2)
  • direct infections of joint in infectious and parasitic diseases classified elsewhere (M01.-)
  • postmeningococcal arthritis (A39.84)
  • mumps arthritis (B26.85)
  • rubella arthritis (B06.82)
  • syphilis arthritis (late) (A52.77)
  • rheumatic fever (I00)
  • tabetic arthropathy [Charcôt's] (A52.16)
M96.A1

None at this code

Excludes2Differs
M02.0

None at this code

M96.A1
  • 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)
Code firstDiffers
M02.0
  • underlying disease, such as:
  • congenital syphilis [Clutton's joints] (A50.5)
  • enteritis due to Yersinia enterocolitica (A04.6)
  • infective endocarditis (I33.0)
  • viral hepatitis (B15-B19)
M96.A1

None at this code

CategoryDiffers
M02.0

M02 Postinfective and reactive arthropathies

M96.A1

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

ChapterSame for both

M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)

IncludesDiffers
M02.0

None at this code

M96.A1
  • Fracture of xiphoid process associated with chest compression and cardiopulmonary resuscitation

No Use additional code, Code also and 7th character note at either code.

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on. In a row that differs, each code’s own notes are listed under it, and the notes every code shares are listed once beneath them.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources