ICD-10-CM code · FY2027
M97 Periprosthetic fracture around internal prosthetic joint
Header codeNot billable: use one of the 36 billable codes below
About M97
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Coding notes for M97
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
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 |
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 53
- M97.0 Periprosthetic fracture around internal prosthetic hip jointHeader
- M97.01 Periprosthetic fracture around internal prosthetic right hip jointHeader
- M97.01XA Periprosthetic fracture around internal prosthetic right hip joint, initial encounterBillable
- M97.01XD Periprosthetic fracture around internal prosthetic right hip joint, subsequent encounterBillable
- M97.01XS Periprosthetic fracture around internal prosthetic right hip joint, sequelaBillable
- M97.02 Periprosthetic fracture around internal prosthetic left hip jointHeader
- M97.02XA Periprosthetic fracture around internal prosthetic left hip joint, initial encounterBillable
- M97.02XD Periprosthetic fracture around internal prosthetic left hip joint, subsequent encounterBillable
- M97.02XS Periprosthetic fracture around internal prosthetic left hip joint, sequelaBillable
- M97.1 Periprosthetic fracture around internal prosthetic knee jointHeader
- M97.11 Periprosthetic fracture around internal prosthetic right knee jointHeader
- M97.11XA Periprosthetic fracture around internal prosthetic right knee joint, initial encounterBillable
- M97.11XD Periprosthetic fracture around internal prosthetic right knee joint, subsequent encounterBillable
- M97.11XS Periprosthetic fracture around internal prosthetic right knee joint, sequelaBillable
- M97.12 Periprosthetic fracture around internal prosthetic left knee jointHeader
- M97.12XA Periprosthetic fracture around internal prosthetic left knee joint, initial encounterBillable
- M97.12XD Periprosthetic fracture around internal prosthetic left knee joint, subsequent encounterBillable
- M97.12XS Periprosthetic fracture around internal prosthetic left knee joint, sequelaBillable
- M97.2 Periprosthetic fracture around internal prosthetic ankle jointHeader
- M97.21 Periprosthetic fracture around internal prosthetic right ankle jointHeader
- M97.21XA Periprosthetic fracture around internal prosthetic right ankle joint, initial encounterBillable
- M97.21XD Periprosthetic fracture around internal prosthetic right ankle joint, subsequent encounterBillable
- M97.21XS Periprosthetic fracture around internal prosthetic right ankle joint, sequelaBillable
- M97.22 Periprosthetic fracture around internal prosthetic left ankle jointHeader
- M97.22XA Periprosthetic fracture around internal prosthetic left ankle joint, initial encounterBillable
- M97.22XD Periprosthetic fracture around internal prosthetic left ankle joint, subsequent encounterBillable
- M97.22XS Periprosthetic fracture around internal prosthetic left ankle joint, sequelaBillable
- M97.3 Periprosthetic fracture around internal prosthetic shoulder jointHeader
- M97.31 Periprosthetic fracture around internal prosthetic right shoulder jointHeader
- M97.31XA Periprosthetic fracture around internal prosthetic right shoulder joint, initial encounterBillable
- M97.31XD Periprosthetic fracture around internal prosthetic right shoulder joint, subsequent encounterBillable
- M97.31XS Periprosthetic fracture around internal prosthetic right shoulder joint, sequelaBillable
- M97.32 Periprosthetic fracture around internal prosthetic left shoulder jointHeader
- M97.32XA Periprosthetic fracture around internal prosthetic left shoulder joint, initial encounterBillable
- M97.32XD Periprosthetic fracture around internal prosthetic left shoulder joint, subsequent encounterBillable
- M97.32XS Periprosthetic fracture around internal prosthetic left shoulder joint, sequelaBillable
- M97.4 Periprosthetic fracture around internal prosthetic elbow jointHeader
- M97.41 Periprosthetic fracture around internal prosthetic right elbow jointHeader
- M97.41XA Periprosthetic fracture around internal prosthetic right elbow joint, initial encounterBillable
- M97.41XD Periprosthetic fracture around internal prosthetic right elbow joint, subsequent encounterBillable
- M97.41XS Periprosthetic fracture around internal prosthetic right elbow joint, sequelaBillable
- M97.42 Periprosthetic fracture around internal prosthetic left elbow jointHeader
- M97.42XA Periprosthetic fracture around internal prosthetic left elbow joint, initial encounterBillable
- M97.42XD Periprosthetic fracture around internal prosthetic left elbow joint, subsequent encounterBillable
- M97.42XS Periprosthetic fracture around internal prosthetic left elbow joint, sequelaBillable
- M97.8 Periprosthetic fracture around other internal prosthetic jointHeader
- M97.8XXA Periprosthetic fracture around other internal prosthetic joint, initial encounterBillable
- M97.8XXD Periprosthetic fracture around other internal prosthetic joint, subsequent encounterBillable
- M97.8XXS Periprosthetic fracture around other internal prosthetic joint, sequelaBillable
- M97.9 Periprosthetic fracture around unspecified internal prosthetic jointHeader
- 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
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