2021 ICD-10-CM Code M97.0

Periprosthetic fracture around internal prosthetic hip joint

Version 2021
Non-Billable Code

Not Valid for Submission

M97.0 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of periprosthetic fracture around internal prosthetic hip joint. 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:M97.0
Short Description:Periprosthetic fracture around internal prosthetic hip joint
Long Description:Periprosthetic fracture around internal prosthetic hip joint

Code Classification

Specific Coding for Periprosthetic fracture around internal prosthetic hip joint

Header codes like M97.0 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 periprosthetic fracture around internal prosthetic hip joint:

  • M97.01 - Periprosthetic fracture around internal prosthetic right hip joint
  • M97.01XA - Periprosthetic fracture around internal prosthetic right hip joint, initial encounter
  • M97.01XD - Periprosthetic fracture around internal prosthetic right hip joint, subsequent encounter
  • M97.01XS - Periprosthetic fracture around internal prosthetic right hip joint, sequela
  • M97.02 - Periprosthetic fracture around internal prosthetic left hip joint
  • M97.02XA - Periprosthetic fracture around internal prosthetic left hip joint, initial encounter
  • M97.02XD - Periprosthetic fracture around internal prosthetic left hip joint, subsequent encounter
  • M97.02XS - Periprosthetic fracture around internal prosthetic left hip joint, sequela

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code M97.0 are found in the index:

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