M96.811 — Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating other procedure
Is M96.811 billable?
Yes — M96.811 is billable for FY2027. M96.811 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M96.811 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M96.811 at a glance
| Code | M96.811 |
|---|---|
| Description | Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating other procedure |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M96.811 group to?
M96.811 sits in MDC 21 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.
- 919Complications of Treatment with MCCmedical
- 920Complications of Treatment with CCmedical
- 921Complications of Treatment without CC/MCCmedical
As a secondary diagnosis, M96.811 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is M96.811 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M96.811. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Complication › intraoperative › hemorrhage › musculoskeletal structure › during non-orthopedic surgery (s) (from) (of)
Excludes1 — never code together — inherited from M96.81
The conditions below can never be reported together with M96.811 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 M96.811, but a patient may have both at the same time. When documentation supports it, M96.811 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 M96.811, but a patient may have both at the same time. When documentation supports it, M96.811 and the excluded code may both be reported.
How long has M96.811 existed?
M96.811 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.