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M96.A4

Billable

Flail chest associated with chest compression and cardiopulmonary resuscitation

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

What This Code Means

Flail chest (a condition where multiple ribs are broken in multiple places, causing a segment of the chest wall to move independently) resulting from chest compressions during CPR.

Coding Tips

  • Flail chest is a serious complication of CPR that requires careful documentation and monitoring
  • Ensure the flail chest diagnosis is documented separately from the underlying CPR-related fractures

Code Hierarchy

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