2021 ICD-10-CM Code M96.6

Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate

Version 2021
Non-Billable Code

Not Valid for Submission

M96.6 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

ICD-10:M96.6
Short Description:Fx bone following insrt ortho implnt/prosth/bone plt
Long Description:Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate

Code Classification

Specific Coding for Fx bone following insrt ortho implnt/prosth/bone plt

Header codes like M96.6 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for fx bone following insrt ortho implnt/prosth/bone plt:

  • M96.62 - Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate
  • M96.621 - Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm
  • M96.622 - Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
  • M96.629 - Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm
  • M96.63 - Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate
  • M96.631 - Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm
  • M96.632 - Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
  • M96.639 - Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm
  • M96.65 - Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate
  • M96.66 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate
  • M96.661 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg
  • M96.662 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg
  • M96.669 - Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg
  • M96.67 - Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate
  • M96.671 - Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg
  • M96.672 - Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg
  • M96.679 - Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg
  • M96.69 - Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code M96.6:


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

Information for Patients


Fractures

Also called: Broken bone

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


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Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)