Present on Admission Exempt ICD-10 Codes - Periprosthetic fracture around internal prosthetic joint (M97)

The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific ICD-10 diagnosis codes that are exempt from the POA reporting requirement.

  • M97.01XD - Periprosth fracture around internal prosth r hip jt, subs
  • M97.01XS - Periprosth fracture around internal prosth r hip jt, sequela
  • M97.02XD - Periprosth fracture around internal prosth l hip jt, subs
  • M97.02XS - Periprosth fracture around internal prosth l hip jt, sequela
  • M97.11XD - Periprosth fracture around internal prosth r knee jt, subs
  • M97.11XS - Periprosth fx around internal prosth r knee jt, sequela
  • M97.12XD - Periprosth fracture around internal prosth l knee jt, subs
  • M97.12XS - Periprosth fx around internal prosth l knee jt, sequela
  • M97.21XD - Periprosth fx around internal prosth r ankle joint, subs
  • M97.21XS - Periprosth fx around internal prosth r ankle joint, sequela
  • M97.22XD - Periprosth fx around internal prosth l ankle joint, subs
  • M97.22XS - Periprosth fx around internal prosth l ankle joint, sequela
  • M97.31XD - Periprosth fx around internal prosth r shoulder jt, subs
  • M97.31XS - Periprosth fx around internal prosth r shoulder jt, sequela
  • M97.32XD - Periprosth fx around internal prosth l shoulder jt, subs
  • M97.32XS - Periprosth fx around internal prosth l shoulder jt, sequela
  • M97.41XD - Periprosth fx around internal prosth r elbow joint, subs
  • M97.41XS - Periprosth fx around internal prosth r elbow joint, sequela
  • M97.42XD - Periprosth fx around internal prosth l elbow joint, subs
  • M97.42XS - Periprosth fx around internal prosth l elbow joint, sequela
  • M97.8XXD - Periprosth fracture around other internal prosth joint, subs
  • M97.8XXS - Periprosth fx around other internal prosth joint, sequela
  • M97.9XXD - Periprosth fracture around unsp internal prosth joint, subs
  • M97.9XXS - Periprosth fx around unsp internal prosth joint, sequela