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  6. 2024 ICD-10-CM Code M96.6
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code M96.6

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

ICD-10-CM Code:
M96.6
ICD-10 Code for:
Fx bone following insrt ortho implnt/prosth/bone plt
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Diseases of the musculoskeletal system and connective tissue
    (M00–M99)
    • Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
      (M96)
      • Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
        (M96)

M96.6 is a non-specific 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 specific and is NOT valid for the year 2024 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.

Specific Coding Applicable to Fx bone following insrt ortho implnt/prosth/bone plt

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

  • M96.62 for Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate - NON-BILLABLE CODE

  • Use M96.621 for Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm - BILLABLE CODE

  • Use M96.622 for Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm - BILLABLE CODE

  • Use M96.629 for Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm - BILLABLE CODE

  • M96.63 for Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate - NON-BILLABLE CODE

  • Use M96.631 for Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm - BILLABLE CODE

  • Use M96.632 for Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm - BILLABLE CODE

  • Use M96.639 for Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm - BILLABLE CODE

  • Use M96.65 for Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate - BILLABLE CODE

  • M96.66 for Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate - NON-BILLABLE CODE

  • Use M96.661 for Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg - BILLABLE CODE

  • Use M96.662 for Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg - BILLABLE CODE

  • Use M96.669 for Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg - BILLABLE CODE

  • M96.67 for Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate - NON-BILLABLE CODE

  • Use M96.671 for Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg - BILLABLE CODE

  • Use M96.672 for Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg - BILLABLE CODE

  • Use M96.679 for Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg - BILLABLE CODE

  • Use M96.69 for Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate - BILLABLE CODE

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


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.
  • Intraoperative fracture of bone during insertion of orthopedic implant, joint prosthesis, or bone plate

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.
  • complication of internal orthopedic devices, implants or grafts T84

Patient Education


Fractures

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:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

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.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.