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M96.1 vs T83.61XD

M96.1 (Postlaminectomy syndrome, not elsewhere classified) compared with T83.61XD (Infection and inflammatory reaction due to implanted penile prosthesis, subsequent encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Relationship

Informational

Excludes2 relationship

T83.61XD
Infection and inflammatory reaction due to implanted penile prosthesis, subsequent encounter
↔
M96.1
Postlaminectomy syndrome, not elsewhere classified

Distinct conditions — both may be reported.

“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.-)”

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: CMS ICD-10-CM tabular instructional notes

Can these codes be reported together?

Yes, when both are documented. T83.61XD carries an Excludes2 note covering M96.1: “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

M96.1Postlaminectomy syndrome, not elsewhere classifiedT83.61XDInfection and inflammatory reaction due to implanted penile prosthesis, subsequent encounter
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionPostlaminectomy syndrome, not elsewhere classified is a billable ICD-10-CM diagnosis code (M96.1).Infection and inflammatory reaction due to implanted penile prosthesis, subsequent encounter is a billable ICD-10-CM diagnosis code (T83.61D).
7th character—The appropriate 7th character is to be added to each code from category T83
Includes—
Infection and inflammatory reaction due to penile prosthesis cylinder
Infection and inflammatory reaction due to penile prosthesis pump
Infection and inflammatory reaction due to penile prosthesis reservoir
Use additional code—
code to identify infection
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
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources