M96.821 — Accidental puncture and laceration of a musculoskeletal structure during other procedure
Is M96.821 billable?
Yes — M96.821 is billable for FY2027. M96.821 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M96.821 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M96.821 at a glance
| Code | M96.821 |
|---|---|
| Description | Accidental puncture and laceration of a musculoskeletal structure during other procedure |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M96.821 group to?
M96.821 sits in MDC 15 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 791Prematurity with Major Problemsmedical
As a secondary diagnosis, M96.821 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is M96.821 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M96.821. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Complication › intraoperative › puncture or laceration › musculoskeletal structure › during non-orthopedic surgery (s) (from) (of)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M96.821, but a patient may have both at the same time. When documentation supports it, M96.821 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 M96.821, but a patient may have both at the same time. When documentation supports it, M96.821 and the excluded code may both be reported.
How long has M96.821 existed?
M96.821 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.