ICD-10 M96.A2
Billable / Specific CCFracture of one rib associated with chest compression and cardiopulmonary resuscitation
About ICD-10-CM M96.A2
ICD-10-CM code M96.A2 represents Fracture of one rib associated with chest compression and cardiopulmonary resuscitation. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M96). The 2026 edition of ICD-10-CM M96.A2 became effective on October 1, 2025.
Coding Tips for M96.A2
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
M96.A2 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inpatient DRG Impact, CC
codes Fracture of one rib associated with chest compression and cardiopulmonary resuscitation. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for M96.A2
Local Coverage Determinations (LCDs) from CMS MACs that list M96.A2 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M96.A2.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but M96.A2 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with M96.A2
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To M96.A2
Other codes in section M96 (Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified).
ICD-10 M96.A2, Billing FAQ
Is ICD-10 code M96.A2 billable? +
Yes, M96.A2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is M96.A2 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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