M96 vs T84
M96 (Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified) compared with T84 (Complications of internal orthopedic prosthetic devices, implants and grafts), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. M96 carries an Excludes2 note covering T84: “complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. T84 carries an Excludes2 note covering M96: “intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| M96Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified | T84Complications of internal orthopedic prosthetic devices, implants and grafts | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header Report instead: T84.010A, T84.010D, T84.010S, T84.011A, T84.011D |
| Classification | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified is a non-billable ICD-10-CM category code (M96). | Complications of internal orthopedic prosthetic devices, implants and grafts is a non-billable ICD-10-CM category code (T84). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T84 |
| Use additional code | — | code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) code(s) to identify the specified condition resulting from the complication code to identify devices involved and details of circumstances (Y62-Y82) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources