2026 ICD-10-CM Diagnosis Code M97Periprosthetic fracture around internal prosthetic joint

ICD-10-CM CodesM00–M99M97M97

ICD-10-CM M97
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M97 is a non-billable ICD-10-CM category code for periprosthetic fracture around internal prosthetic joint, so it cannot be submitted on claims. Use a more specific code from this category instead, such as M97.01XA, M97.01XD, M97.01XS, and M97.02XA.

Code Identity

ICD-10-CM Code
M97
Billable Status
No — Non-Billable Category
Code Describes
Periprosthetic fracture around internal prosthetic joint
Chapter
M97
Periprosthetic fracture around internal prosthetic joint

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM97Periprosthetic fracture around internal prosthetic joint
CategoryM97Periprosthetic fracture around internal prosthetic joint
This CodeM97Periprosthetic fracture around internal prosthetic joint

Specific Coding for Periprosthetic fracture around internal prosthetic jointOverview

Non-specific codes like M97 require more characters. Use one of these billable codes instead:

  • M97.0 for Periprosthetic fracture around internal prosthetic hip joint

  • M97.01 for Periprosthetic fracture around internal prosthetic right hip joint

  • M97.02 for Periprosthetic fracture around internal prosthetic left hip joint

  • M97.1 for Periprosthetic fracture around internal prosthetic knee joint

  • M97.11 for Periprosthetic fracture around internal prosthetic right knee joint

  • M97.12 for Periprosthetic fracture around internal prosthetic left knee joint

  • M97.2 for Periprosthetic fracture around internal prosthetic ankle joint

  • M97.21 for Periprosthetic fracture around internal prosthetic right ankle joint

  • M97.22 for Periprosthetic fracture around internal prosthetic left ankle joint

  • M97.3 for Periprosthetic fracture around internal prosthetic shoulder joint

  • M97.31 for Periprosthetic fracture around internal prosthetic right shoulder joint

  • M97.32 for Periprosthetic fracture around internal prosthetic left shoulder joint

  • M97.4 for Periprosthetic fracture around internal prosthetic elbow joint

  • M97.41 for Periprosthetic fracture around internal prosthetic right elbow joint

  • M97.42 for Periprosthetic fracture around internal prosthetic left elbow joint

  • M97.8 for Periprosthetic fracture around other internal prosthetic joint

  • M97.9 for Periprosthetic fracture around unspecified internal prosthetic joint

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Code First

  • , if known, the specific type and cause of fracture, such as traumatic or pathological

Type 2 Excludes

  • fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate M96.6
  • breakage fracture of prosthetic joint T84.01

7th Character Note

  • The appropriate 7th character is to be added to each code from category M97

7th Character

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Patient EducationClinical

Fractures

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

The full article covers:

  • What is a fracture?
  • What are the different types of fractures?
  • What causes fractures?
  • What are the symptoms of a fracture?
  • How are fractures diagnosed?
  • What are the treatments for fractures?
  • Can fractures be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2018AddedAdded to the ICD-10-CM code setEffective October 1, 2017.
FY 2019–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About M97Overview

Is M97 (Periprosthetic fracture around internal prosthetic joint) a billable code?

No. This is a category header that groups the codes for periprosthetic fracture around internal prosthetic joint, and headers cannot be submitted on claims. Claims for periprosthetic fracture around internal prosthetic joint need a more specific code from this category, such as M97.01XA, M97.01XD, and M97.01XS.