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Compare/M96.1 vs T85.22XD

M96.1 vs T85.22XD

M96.1 (Postlaminectomy syndrome, not elsewhere classified) compared with T85.22XD (Displacement of intraocular lens, subsequent encounter), 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. T85.22XD 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. T85.22XD 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 classifiedT85.22XDDisplacement of intraocular lens, 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).Displacement of intraocular lens, subsequent encounter is a billable ICD-10-CM diagnosis code (T85.22D).
7th characterThe appropriate 7th character is to be added to each code from category T85
Includes
Malposition of intraocular lens
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