ICDcodes.org
FY2027

M96.1 — Postlaminectomy syndrome, not elsewhere classified

BillableUnspecified

Is M96.1 billable?

Yes, but M96.1 is an unspecified code. M96.1 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M96.1 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting M96.1 — the more specific alternatives are listed below.

M96.1 at a glance

CodeM96.1
DescriptionPostlaminectomy syndrome, not elsewhere classified
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does M96.1 group to?

M96.1 sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 551Medical Back Problems with MCCmedical
  • 552Medical Back Problems without MCCmedical

How is M96.1 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to M96.1. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Postlaminectomy syndrome NEC
  • Syndrome › postlaminectomy NEC
  • Complication › surgical procedure › postlaminectomy syndrome NEC (s) (from) (of)
  • Complication › musculoskeletal system › postoperative › postlaminectomy syndrome NEC (s) (from) (of)
  • Complication › orthopedic › postprocedural › postlaminectomy syndrome NEC (s) (from) (of)

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M96.1, but a patient may have both at the same time. When documentation supports it, M96.1 and the excluded code may both be reported.

  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Excludes2 — not included here — inherited from M96

The conditions below are not part of M96.1, but a patient may have both at the same time. When documentation supports it, M96.1 and the excluded code may both be reported.

  • arthropathy following intestinal bypass (M02.0-)
  • complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)
  • disorders associated with osteoporosis (M80)
  • periprosthetic fracture around internal prosthetic joint (M97.-)
  • presence of functional implants and other devices (Z96-Z97)

How long has M96.1 existed?

M96.1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the M96 family? (8)