M96.842 - Postprocedural seroma of a musculoskeletal structure following a musculoskeletal system procedure

Version 2023

ICD-10:	M96.842
Short Description:	Postproc seroma of a ms structure fol a ms sys procedure
Long Description:	Postprocedural seroma of a musculoskeletal structure following a musculoskeletal system procedure
Status:	Valid for Submission
Version:	ICD-10-CM 2023
Code Classification:	Diseases of the musculoskeletal system and connective tissue (M00–M99) Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified (M96) Intraop and postproc comp and disorders of ms sys, NEC (M96)

1. Tabular List of Diseases and Injuries
2. Index to Diseases and Injuries References
3. Diagnostic Related Groups - MS-DRG Mapping
4. Replacement Code
5. Convert to ICD-9 Code
6. Patient Education
7. Related Codes Browser
8. Code History

M96.842 is a billable ICD-10 code used to specify a medical diagnosis of postprocedural seroma of a musculoskeletal structure following a musculoskeletal system procedure. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.

Index to Diseases and Injuries References

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:

- Complication (s) (from) (of)
- - postprocedural - See Also: Complications, surgical procedure;
  - - seroma (of)
    - - musculoskeletal structure
      - - following musculoskeletal surgery - M96.842
      - - following orthopedic surgery - M96.842

Diagnostic Related Groups - MS-DRG Mapping

The is diagnosis code is grouped in the following groups for version MS-DRG V40.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2022 through 09/30/2023.

MS-DRG	MS-DRG Title	MCD	Relative Weight
919	COMPLICATIONS OF TREATMENT WITH MCC	21	1.7936
920	COMPLICATIONS OF TREATMENT WITH CC	21	1.0218
921	COMPLICATIONS OF TREATMENT WITHOUT CC/MCC	21	0.7279

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

M96842 replaces the following previously assigned ICD-10 code(s):

M96.830 - Postproc hemor of a ms structure fol a ms sys procedure
M96.830 - Postproc hemor/hemtom of a ms structure fol a ms sys proc

Convert to ICD-9 Code

Source ICD-10 Code		Target ICD-9 Code
M96.842		998.13 - Seroma complicting proc
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Related Codes Browser

ICD Code	Description	Valid for Submission
M96	Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified	NON-BILLABLE CODE
M96.0	Pseudarthrosis after fusion or arthrodesis	BILLABLE CODE
M96.1	Postlaminectomy syndrome, not elsewhere classified	BILLABLE CODE
M96.2	Postradiation kyphosis	BILLABLE CODE
M96.3	Postlaminectomy kyphosis	BILLABLE CODE
M96.4	Postsurgical lordosis	BILLABLE CODE
M96.5	Postradiation scoliosis	BILLABLE CODE
M96.6	Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate	NON-BILLABLE CODE
M96.62	Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate	NON-BILLABLE CODE
M96.621	Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm	BILLABLE CODE
M96.622	Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm	BILLABLE CODE
M96.629	Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm	BILLABLE CODE
M96.63	Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate	NON-BILLABLE CODE
M96.631	Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm	BILLABLE CODE
M96.632	Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm	BILLABLE CODE
M96.639	Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm	BILLABLE CODE
M96.65	Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate	BILLABLE CODE
M96.66	Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate	NON-BILLABLE CODE
M96.661	Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg	BILLABLE CODE
M96.662	Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg	BILLABLE CODE
M96.669	Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg	BILLABLE CODE
M96.67	Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate	NON-BILLABLE CODE
M96.671	Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg	BILLABLE CODE
M96.672	Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg	BILLABLE CODE
M96.679	Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg	BILLABLE CODE
M96.69	Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate	BILLABLE CODE
M96.8	Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified	NON-BILLABLE CODE
M96.81	Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating a procedure	NON-BILLABLE CODE
M96.810	Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating a musculoskeletal system procedure	BILLABLE CODE
M96.811	Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating other procedure	BILLABLE CODE
M96.82	Accidental puncture and laceration of a musculoskeletal structure during a procedure	NON-BILLABLE CODE
M96.820	Accidental puncture and laceration of a musculoskeletal structure during a musculoskeletal system procedure	BILLABLE CODE
M96.821	Accidental puncture and laceration of a musculoskeletal structure during other procedure	BILLABLE CODE
M96.83	Postprocedural hemorrhage of a musculoskeletal structure following a procedure	NON-BILLABLE CODE
M96.830	Postprocedural hemorrhage of a musculoskeletal structure following a musculoskeletal system procedure	BILLABLE CODE
M96.831	Postprocedural hemorrhage of a musculoskeletal structure following other procedure	BILLABLE CODE
M96.84	Postprocedural hematoma and seroma of a musculoskeletal structure following a procedure	NON-BILLABLE CODE
M96.840	Postprocedural hematoma of a musculoskeletal structure following a musculoskeletal system procedure	BILLABLE CODE
M96.841	Postprocedural hematoma of a musculoskeletal structure following other procedure	BILLABLE CODE
M96.843	Postprocedural seroma of a musculoskeletal structure following other procedure	BILLABLE CODE
M96.89	Other intraoperative and postprocedural complications and disorders of the musculoskeletal system	BILLABLE CODE
M96.A	Fracture of ribs, sternum and thorax associated with compression of the chest and cardiopulmonary resuscitation	NON-BILLABLE CODE
M96.A1	Fracture of sternum associated with chest compression and cardiopulmonary resuscitation	BILLABLE CODE
M96.A2	Fracture of one rib associated with chest compression and cardiopulmonary resuscitation	BILLABLE CODE
M96.A3	Multiple fractures of ribs associated with chest compression and cardiopulmonary resuscitation	BILLABLE CODE
M96.A4	Flail chest associated with chest compression and cardiopulmonary resuscitation	BILLABLE CODE
M96.A9	Other fracture associated with chest compression and cardiopulmonary resuscitation	BILLABLE CODE

Code History

FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018

Previous Code: M96.841

Parent Code: M96.84

Next Code: M96.843

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