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M96.0

Billable

Pseudarthrosis after fusion or arthrodesis

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A condition where bone fails to heal properly after spinal fusion or joint arthrodesis surgery, resulting in a false joint or gap where the bones should have fused together.

Coding Tips

  • •Document the specific site of the pseudarthrosis (cervical, thoracic, lumbar spine, or other joint) when available
  • •This is a post-surgical complication; ensure the original fusion/arthrodesis procedure is documented in the medical record

Code Hierarchy

└M96Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified└M96.0Pseudarthrosis after fusion or arthrodesis
└M96.0Pseudarthrosis after fusion or arthrodesis

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