M96.4 — Postsurgical lordosis
Is M96.4 billable?
Yes — M96.4 is billable for FY2027. M96.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M96.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M96.4 at a glance
| Code | M96.4 |
|---|---|
| Description | Postsurgical lordosis |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M96.4 group to?
M96.4 sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 456Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with MCCsurgical
- 457Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with CCsurgical
- 458Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection without CC/MCCsurgical
How is M96.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M96.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Lordosis › postsurgical
- Complication › musculoskeletal system › postoperative › lordosis (s) (from) (of)
- Complication › orthopedic › postprocedural › postlaminectomy syndrome NEC › lordosis (s) (from) (of)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M96.4, but a patient may have both at the same time. When documentation supports it, M96.4 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 M96.4, but a patient may have both at the same time. When documentation supports it, M96.4 and the excluded code may both be reported.
How long has M96.4 existed?
M96.4 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.
Which conditions are coded to M96.4?
What other codes are in the M96 family? (8)
- M96.0Pseudarthrosis after fusion or arthrodesis
- M96.1Postlaminectomy syndrome, not elsewhere classified
- M96.2Postradiation kyphosis
- M96.3Postlaminectomy kyphosis
- M96.5Postradiation scoliosis
- M96.6Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone platenot billable
- M96.8Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classifiednot billable
- M96.AFracture of ribs, sternum and thorax associated with compression of the chest and cardiopulmonary resuscitationnot billable