2026 ICD-10-CM Diagnosis Code M96.842Postprocedural seroma of a musculoskeletal structure following a musculoskeletal system procedure
ICD-10-CM Codes›M00–M99›M96›M96
- Billable — Valid for Submission
- Not Chronic
M96.842 is a billable ICD-10-CM diagnosis code for postprocedural seroma of a musculoskeletal structure following a musculoskeletal system procedure. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 919 through 921. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Postprocedural or postoperative musculoskeletal system complication.
Code Identity
Code Classification
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Complication (s) (from) (of)
- postprocedural - See Also: Complications, surgical procedure;
- following musculoskeletal surgery - M96.842
- following orthopedic surgery - M96.842
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Complication(s) (from) (of)
- postprocedural
- seroma (of)
- musculoskeletal structure
- following musculoskeletal surgery
- Complication(s) (from) (of)
- postprocedural
- seroma (of)
- musculoskeletal structure
- following orthopedic surgery
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Convert M96.842 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code History & ChangesHistory
Replacement M96.842 replaces the following previously assigned 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
Questions About M96.842Overview
Is M96.842 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report postprocedural seroma of a musculoskeletal structure following a musculoskeletal system procedure on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does M96.842 group to?
When postprocedural seroma of a musculoskeletal structure following a musculoskeletal system procedure is the principal diagnosis on an inpatient stay, it groups to MS-DRG 919, 920, 921, with relative weights from 0.6884 to 1.8308 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of M96.842?
Under the General Equivalence Mappings, postprocedural seroma of a musculoskeletal structure following a musculoskeletal system procedure converts to ICD-9-CM 998.13 (seroma complicting proc). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
