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Home/Diagnosis/ICD-10 Coding for Postlaminectomy Syndrome

ICD-10 Coding for Postlaminectomy Syndrome

M96.1

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

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

Essential facts and insights about ICD-10 Coding for Postlaminectomy Syndrome

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

Primary ICD-10-CM Codes

Postlaminectomy syndrome, NEC

Billable Code
M96.1
Billable

Diagnostic Criteria

clinical:
  • • Persistent pain following documented spinal surgery
documentation:
  • • Explicit mention of 'postlaminectomy syndrome' or 'failed back syndrome'

Applicable To

  • • Failed back syndrome

Important Notes

  • • Ensure surgical history is documented to support the use of M96.1.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain due to trauma

Use as primary if the encounter is for pain management.

T84.82xA

Mechanical complication of spinal fixation device

Use if imaging confirms hardware failure.

Frequently Asked Questions

What is the ICD-10 code for postlaminectomy syndrome?

The ICD-10 code for postlaminectomy syndrome is M96.1. It is used for patients experiencing persistent pain following spinal surgeries like laminectomy or discectomy.

When should M96.1 be used?

Use M96.1 when there is documented evidence of post-surgical pain following procedures such as laminectomy or discectomy, with explicit mention of 'postlaminectomy syndrome'.

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