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M96.1

Billable

Postlaminectomy syndrome, not elsewhere classified

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

What This Code Means

A condition that develops after spinal surgery (laminectomy) where patients experience ongoing pain, weakness, or other symptoms in the back or legs despite the surgery.

Coding Tips

  • Use this code when postoperative spinal symptoms cannot be attributed to a more specific complication
  • Document the original surgical procedure and the current symptoms to support medical necessity

Code Hierarchy

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