Skip to main content

M96.1 vs T83.9XXA

M96.1 (Postlaminectomy syndrome, not elsewhere classified) compared with T83.9XXA (Unspecified complication of genitourinary prosthetic device, implant and graft, initial encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Relationship

Informational

Excludes2 relationship

T83.9XXA
Unspecified complication of genitourinary prosthetic device, implant and graft, initial 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

Informational

Excludes2 relationship

T83.9XXA
Unspecified complication of genitourinary prosthetic device, implant and graft, initial encounter
↔
M96.1
Postlaminectomy syndrome, not elsewhere classified

Distinct conditions — both may be reported.

“postlaminectomy syndrome NEC (M96.1)”

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. T83.9XXA 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.

Yes, when both are documented. T83.9XXA carries an Excludes2 note covering M96.1: “postlaminectomy syndrome NEC (M96.1)”

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

Side by side

M96.1Postlaminectomy syndrome, not elsewhere classifiedT83.9XXAUnspecified complication of genitourinary prosthetic device, implant and graft, initial 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).Unspecified complication of genitourinary prosthetic device, implant and graft, initial encounter is a billable ICD-10-CM diagnosis code (T83.9A).
7th character—The appropriate 7th character is to be added to each code from category T83
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)
Edit this comparisonCheck a whole claim

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources