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M96.6 vs T84.83XA

M96.6 (Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate) compared with T84.83XA (Hemorrhage due to internal orthopedic prosthetic devices, implants and grafts, initial encounter), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Relationship

Informational

Excludes2 relationship

M96.6
Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate
↔
T84.83XA
Hemorrhage due to internal orthopedic prosthetic devices, implants and grafts, initial encounter

Distinct conditions — both may be reported.

“complication of internal orthopedic devices, implants or grafts (T84.-)”

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. M96.6 carries an Excludes2 note covering T84.83XA: “complication of internal orthopedic devices, implants or grafts (T84.-)”

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

Side by side

M96.6Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plateT84.83XAHemorrhage due to internal orthopedic prosthetic devices, implants and grafts, initial encounter
Billing statusNon-billable headerBillable
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)
DefinitionFracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate is a non-billable ICD-10-CM category code (M96.6).Hemorrhage due to internal orthopedic prosthetic devices, implants and grafts, initial encounter is a billable ICD-10-CM diagnosis code (T84.83A).
7th character—The appropriate 7th character is to be added to each code from category T84
Includes
Intraoperative fracture of bone during insertion of orthopedic implant, joint prosthesis, or bone plate
—
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)
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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