M96.1 vs T85.735
M96.1 (Postlaminectomy syndrome, not elsewhere classified) compared with T85.735 (Infection and inflammatory reaction due to cranial or spinal infusion catheter), 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. T85.735 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. T85.735 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 classified | T85.735Infection and inflammatory reaction due to cranial or spinal infusion catheter | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| 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 | Postlaminectomy syndrome, not elsewhere classified is a billable ICD-10-CM diagnosis code (M96.1). | Infection and inflammatory reaction due to cranial or spinal infusion catheter is a non-billable ICD-10-CM category code (T85.735). |
| 7th character | — | The appropriate 7th character is to be added to each code from category T85 |
| Includes | — | Infection and inflammatory reaction due to epidural catheter Infection and inflammatory reaction due to intrathecal infusion catheter Infection and inflammatory reaction due to subarachnoid catheter Infection and inflammatory reaction due to subdural catheter |
| 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 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources