Postlaminectomy syndrome, not elsewhere classified
ICD-10 Code: M96.1 · Body Part: Lumbar Spine
QME Evaluation Process
Lumbar ROM testing, neurological examination, imaging review for failed back surgery. DRE method considering post-surgical status.
Typical Impairment Rating
15-30% WPI; often DRE Category IV-V
AMA Guides Edition
5th Edition
Common Treatments
Related Conditions
Body Part Guide
Lumbar Spine Evaluation Guide
Impairment rating methods, common conditions, and QME evaluation protocols
QME Specialties for Postlaminectomy syndrome, not elsewhere classified
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What is Postlaminectomy syndrome, not elsewhere classified (M96.1)?
Postlaminectomy syndrome, not elsewhere classified is an ICD-10 diagnosis code (M96.1) classified under Musculoskeletal conditions. It affects the Lumbar Spine and is commonly encountered in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.
How is M96.1 rated for impairment?
The typical whole person impairment (WPI) range for Postlaminectomy syndrome, not elsewhere classified is 15-30% WPI; often DRE Category IV-V. The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.
What is the QME evaluation process for M96.1?
Lumbar ROM testing, neurological examination, imaging review for failed back surgery. DRE method considering post-surgical status.
What treatments are common for Postlaminectomy syndrome, not elsewhere classified?
Common treatments for Postlaminectomy syndrome, not elsewhere classified include Pain management, Spinal cord stimulation, Revision surgery, Physical therapy, Interdisciplinary pain program. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.