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M96.1 vs T85.734D

M96.1 (Postlaminectomy syndrome, not elsewhere classified) compared with T85.734D (Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, subsequent encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Relationship

Informational

Excludes2 relationship

T85.734D
Infection and inflammatory reaction due to implanted electronic neurostimulator, generator, 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. T85.734D 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 classifiedT85.734DInfection and inflammatory reaction due to implanted electronic neurostimulator, generator, 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 electronic neurostimulator, generator, subsequent encounter is a billable ICD-10-CM diagnosis code (T85.734D).
7th character—The appropriate 7th character is to be added to each code from category T85
Includes—
Generator pocket infection
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