M96.81 — Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating a procedure
Is M96.81 billable?
No — M96.81 is a non-billable header code. M96.81 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 2 billable codes beneath M96.81.
M96.81 at a glance
| Code | M96.81 |
|---|---|
| Description | Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating a procedure |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with M96.81 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- intraoperative hemorrhage and hematoma of a musculoskeletal structure due to accidental puncture and laceration during a procedure (M96.82-)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M96.81, but a patient may have both at the same time. When documentation supports it, M96.81 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 M96.81, but a patient may have both at the same time. When documentation supports it, M96.81 and the excluded code may both be reported.
What codes fall under M96.81? (2)
How long has M96.81 existed?
M96.81 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 M96.8 family? (4)
- M96.82Accidental puncture and laceration of a musculoskeletal structure during a procedurenot billable
- M96.83Postprocedural hemorrhage of a musculoskeletal structure following a procedurenot billable
- M96.84Postprocedural hematoma and seroma of a musculoskeletal structure following a procedurenot billable
- M96.89Other intraoperative and postprocedural complications and disorders of the musculoskeletal system