M96.1 – Postlaminectomy syndrome, not elsewhere classified

M96.1 Diagnosis Code: Postlaminectomy Syndrome, Not Elsewhere Classified

M96.1 is a diagnosis code used to describe Postlaminectomy Syndrome, Not Elsewhere Classified. This condition refers to persistent pain and other symptoms that develop after spinal surgery, specifically after laminectomy, which is a surgical procedure that involves removing part of the vertebra to relieve pressure on the spinal cord or nerve roots. 

Postlaminectomy syndrome can cause various symptoms, such as chronic pain, numbness, weakness, tingling, or a burning sensation in the back, neck, arms, or legs. These symptoms can be localized to the site of the surgery or can radiate to other parts of the body. The intensity of the symptoms can vary from mild to severe and affect the patient's ability to perform daily activities, sleep, or work.

Is M96.1 Billable?

Yes, M96.1 is a billable diagnosis code.

Clinical Information

Postlaminectomy syndrome is a chronic pain condition that can develop after spinal surgery, specifically after laminectomy. This condition is also known as failed back syndrome or post-laminectomy pain syndrome. Postlaminectomy syndrome can cause various symptoms, such as chronic pain, numbness, weakness, tingling, or a burning sensation in the back, neck, arms, or legs. These symptoms can be localized to the site of the surgery or can radiate to other parts of the body.

This can occur due to various factors, including nerve damage during the surgery, scar tissue formation around the nerve roots, or spine instability due to removing part of the vertebra. Additionally, the condition can occur due to pre-existing conditions such as arthritis or degenerative disc disease. 

The diagnosis of the postlaminectomy syndrome is usually made through a physical exam, medical history, and diagnostic tests such as X-rays, MRI scans, or nerve conduction studies. Treatment options for postlaminectomy syndrome include pain medications, physical therapy, epidural steroid injections, nerve blocks, or spinal cord stimulation. In severe cases, revision surgery may be necessary.

Synonyms Include

• T81.4 - Infection Following A Procedure, Not Elsewhere Classified
• T81.4 - Infection Following A Procedure, Not Elsewhere Classified
• T81.89 - Other Specified Complications Of Procedures, Not Elsewhere Classified
• T85.60 - Mechanical Complication Of Other Specified Internal Orthopedic Devices, Implants And Grafts, Unspecified Site
• T85.89 - Other Complications Of Internal Prosthetic Devices, Implants, And Grafts

Other ICD-10 Codes Commonly Used for Postlaminectomy syndrome

Here are other codes used when diagnosing Postlaminectomy syndrome:

• G89.29 - Other Chronic Pain
• G89.18 - Other Acute Postoperative Pain
• G89.18 - Other Acute Postoperative Pain
• G89.18 - Other Acute Postoperative Pain