ICD-10 Code M96.622

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

Version 2020 Billable Code

Valid for Submission

M96.622 is a billable code used to specify a medical diagnosis of fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:M96.622
Short Description:Fx humerus fol insrt ortho implnt/prosth/bone plt, left arm
Long Description:Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm

Diagnostic Related Groups

The ICD-10 code M96.622 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 559 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
  • 560 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
  • 561 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Convert M96.622 to ICD-9

  • 996.49 - Mech com orth dev NEC (Approximate Flag)

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)
      • Intraop and postproc comp and disorders of ms sys, NEC (M96)

Code History

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

Information for Patients


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.


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