ICD-10-CM code · FY2027
M97.9 Periprosthetic fracture around unspecified internal prosthetic joint
Header codeNot billable: use one of the 3 billable codes below
About M97.9
- Code
- M97.9
- Billable
- No, header
- Short description
- Periprosth fracture around unsp internal prosthetic joint
- Category
- M97 Periprosthetic fracture around internal prosthetic joint
- Block
- M97 Periprosthetic fracture around internal prosthetic joint (M97)
- Chapter
- 13 Diseases of the musculoskeletal system and connective tissue
- Code set
- FY2027, October 1, 2026 to September 30, 2027
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Coding notes for M97.9
No notes of its own; the notes below apply from the codes above it.
7th character Required: add one of these as the 7th character, with X as a placeholder to fill six characters.
| Character | Meaning |
|---|---|
| A | initial encounter |
| D | subsequent encounter |
| S | sequela |
Also applies, from M97 Periprosthetic fracture around internal prosthetic joint
Excludes2 Not part of this condition, but a patient can have both: report both codes when both apply.
Code first Report the underlying condition's code before this one.
- , if known, the specific type and cause of fracture, such as traumatic or pathological
7th character
- The appropriate 7th character is to be added to each code from category M97
Chapter 13 notes (apply to every code in it)
Note
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Excludes2 Not part of this condition, but a patient can have both: report both codes when both apply.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Codes under M97.9 3
- M97.9XXA Periprosthetic fracture around unspecified internal prosthetic joint, initial encounterBillable
- M97.9XXD Periprosthetic fracture around unspecified internal prosthetic joint, subsequent encounterBillable
- M97.9XXS Periprosthetic fracture around unspecified internal prosthetic joint, sequelaBillable
Related codes in M97
- M97.0 Periprosthetic fracture around internal prosthetic hip jointHeader
- M97.1 Periprosthetic fracture around internal prosthetic knee jointHeader
- M97.2 Periprosthetic fracture around internal prosthetic ankle jointHeader
- M97.3 Periprosthetic fracture around internal prosthetic shoulder jointHeader
- M97.4 Periprosthetic fracture around internal prosthetic elbow jointHeader
- M97.8 Periprosthetic fracture around other internal prosthetic jointHeader
Latest research on periprosthetic fracture around internal prosthetic joint
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