M96.A1 — Fracture of sternum associated with chest compression and cardiopulmonary resuscitation
Is M96.A1 billable?
Yes — M96.A1 is billable for FY2027. M96.A1 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M96.A1 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M96.A1 at a glance
| Code | M96.A1 |
|---|---|
| Description | Fracture of sternum associated with chest compression and cardiopulmonary resuscitation |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M96.A1 group to?
M96.A1 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.
- 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCCmedical
- 565Other Musculoskeletal System and Connective Tissue Diagnoses with CCmedical
- 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCCmedical
As a secondary diagnosis, M96.A1 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is M96.A1 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M96.A1. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › sternum › associated with chest compression and cardiopulmonary resuscitation (abduction) (adduction) (separation)
- Fracture, traumatic › xiphisternum, xiphoid › associated with chest compression and cardiopulmonary resuscitation (abduction) (adduction) (separation)
- Fracture, traumatic › sternum › xiphoid › associated with chest compression and cardiopulmonary resuscitation (abduction) (adduction) (separation)
- Fracture, traumatic › thorax › sternum › xiphoid process › associated with chest compression and cardiopulmonary resuscitation (abduction) (adduction) (separation)
Inclusion terms
Alternative wording in documentation that is classified to M96.A1.
- Fracture of xiphoid process associated with chest compression and cardiopulmonary resuscitation
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M96.A1, but a patient may have both at the same time. When documentation supports it, M96.A1 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.A1, but a patient may have both at the same time. When documentation supports it, M96.A1 and the excluded code may both be reported.
How long has M96.A1 existed?
M96.A1 first appears in FY2023.
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.A family? (4)
- M96.A2Fracture of one rib associated with chest compression and cardiopulmonary resuscitation
- M96.A3Multiple fractures of ribs associated with chest compression and cardiopulmonary resuscitation
- M96.A4Flail chest associated with chest compression and cardiopulmonary resuscitation
- M96.A9Other fracture associated with chest compression and cardiopulmonary resuscitation