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Home/Diagnosis/ICD-10 Coding for Failed Back Surgical Syndrome

ICD-10 Coding for Failed Back Surgical Syndrome

M96.1
T84.2XX

Complete ICD-10-CM coding and documentation guide for icd-10 coding for failed back surgical syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Postlaminectomy Syndrome
FBSS
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Key Information: ICD-10 Coding for Failed Back Surgical Syndrome

Essential facts and insights about ICD-10 Coding for Failed Back Surgical Syndrome

Use ICD-10 code M96.1 for postlaminectomy syndrome, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Postlaminectomy syndrome

Billable Code
M96.1
Billable

Diagnostic Criteria

clinical:
  • • Persistent pain after spinal surgery with imaging evidence
documentation:
  • • Specific mention of prior laminectomy or discectomy

Applicable To

  • • Failed back syndrome

Important Notes

  • • Ensure documentation specifies the type of prior surgery and current symptoms.

Mechanical complication of internal orthopedic device, implant, and graft

Non-Billable
T84.2XX
Non-Billable

Diagnostic Criteria

clinical:
  • • Imaging showing hardware failure
  • • Documentation of symptoms related to hardware

Applicable To

  • • Hardware failure
  • • Pseudarthrosis

Important Notes

  • • Ensure imaging confirms hardware issues before coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z98.1

Arthrodesis status

Use to indicate a history of spinal fusion surgery.

Frequently Asked Questions

What is the ICD-10 code for failed back surgical syndrome?

The ICD-10 code for failed back surgical syndrome is M96.1, used for postlaminectomy syndrome.

How do you code a mechanical complication of spinal hardware?

Use T84.2XX for mechanical complications of spinal hardware, ensuring imaging confirms the issue.

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