M96.830 ICD-10-CM Code: Postprocedural hemorrhage of a musculoskeletal structure following a musculoskeletal system procedure
HCC Buddy Code Card
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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified (M96)
M96.830
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidancePostprocedural hemorrhage of a musculoskeletal structure following a musculoskeletal system procedure
Bleeding in muscles, bones, or connective tissue that develops after a musculoskeletal surgery is completed.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for M96.830 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for M96.830 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for M96.830 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for M96.830 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for M96.830 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for M96.830 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for M96.830 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is M96.830 an HCC code?
No. M96.830 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- M96.830
- Description
- Postprocedural hemorrhage of a musculoskeletal structure following a musculoskeletal system procedure
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
M96.830 is the ICD-10-CM diagnosis code for postprocedural hemorrhage of a musculoskeletal structure following a musculoskeletal system procedure. Bleeding in muscles, bones, or connective tissue that develops after a musculoskeletal surgery is completed. M96.830 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified (m96).
M96.830 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This code is used for hemorrhage that occurs in the postoperative period, not during the procedure.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M96.830 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code is used for hemorrhage that occurs in the postoperative period, not during the procedure
- •Document the timing of when the bleeding was discovered relative to the surgery