Periprosthetic fracture around internal prosthetic joint (M97)

Browse all the diagnosis codes used for periprosthetic fracture around internal prosthetic joint (m97). For easy navigation, the diagnosis codes are sorted in alphabetical order and grouped by sections. Each section is clearly marked with its description, and the corresponding three-digit code range. This format makes it simple to browse diagnosis codes in this chapter or section and find what you're looking for. We've also added green checkmark icons to label billable codes, and red warning icons for non-billable ones. This makes it easy to identify which codes can be billed.

Instructional Notations

Code First

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.

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

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.

  • 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

Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.

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

7th Character

Indicates that a seventh character is to be assigned to codes in a subcategory.

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela
  • Diseases of the musculoskeletal system and connective tissue (M00–M99)

    • Periprosthetic fracture around internal prosthetic joint (M97)

        • Periprosthetic fracture around internal prosthetic joint (M97)

        • M97 Periprosthetic fracture around internal prosthetic joint
        • M97.0 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
        • M97.1 Periprosthetic fracture around internal prosthetic knee joint
        • M97.11 Periprosthetic fracture around internal prosthetic right knee joint
        • M97.11XA Periprosthetic fracture around internal prosthetic right knee joint, initial encounter
        • M97.11XD Periprosthetic fracture around internal prosthetic right knee joint, subsequent encounter
        • M97.11XS Periprosthetic fracture around internal prosthetic right knee joint, sequela
        • M97.12 Periprosthetic fracture around internal prosthetic left knee joint
        • M97.12XA Periprosthetic fracture around internal prosthetic left knee joint, initial encounter
        • M97.12XD Periprosthetic fracture around internal prosthetic left knee joint, subsequent encounter
        • M97.12XS Periprosthetic fracture around internal prosthetic left knee joint, sequela
        • M97.2 Periprosthetic fracture around internal prosthetic ankle joint
        • M97.21 Periprosthetic fracture around internal prosthetic right ankle joint
        • M97.21XA Periprosthetic fracture around internal prosthetic right ankle joint, initial encounter
        • M97.21XD Periprosthetic fracture around internal prosthetic right ankle joint, subsequent encounter
        • M97.21XS Periprosthetic fracture around internal prosthetic right ankle joint, sequela
        • M97.22 Periprosthetic fracture around internal prosthetic left ankle joint
        • M97.22XA Periprosthetic fracture around internal prosthetic left ankle joint, initial encounter
        • M97.22XD Periprosthetic fracture around internal prosthetic left ankle joint, subsequent encounter
        • M97.22XS Periprosthetic fracture around internal prosthetic left ankle joint, sequela
        • M97.3 Periprosthetic fracture around internal prosthetic shoulder joint
        • M97.31 Periprosthetic fracture around internal prosthetic right shoulder joint
        • M97.31XA Periprosthetic fracture around internal prosthetic right shoulder joint, initial encounter
        • M97.31XD Periprosthetic fracture around internal prosthetic right shoulder joint, subsequent encounter
        • M97.31XS Periprosthetic fracture around internal prosthetic right shoulder joint, sequela
        • M97.32 Periprosthetic fracture around internal prosthetic left shoulder joint
        • M97.32XA Periprosthetic fracture around internal prosthetic left shoulder joint, initial encounter
        • M97.32XD Periprosthetic fracture around internal prosthetic left shoulder joint, subsequent encounter
        • M97.32XS Periprosthetic fracture around internal prosthetic left shoulder joint, sequela
        • M97.4 Periprosthetic fracture around internal prosthetic elbow joint
        • M97.41 Periprosthetic fracture around internal prosthetic right elbow joint
        • M97.41XA Periprosthetic fracture around internal prosthetic right elbow joint, initial encounter
        • M97.41XD Periprosthetic fracture around internal prosthetic right elbow joint, subsequent encounter
        • M97.41XS Periprosthetic fracture around internal prosthetic right elbow joint, sequela
        • M97.42 Periprosthetic fracture around internal prosthetic left elbow joint
        • M97.42XA Periprosthetic fracture around internal prosthetic left elbow joint, initial encounter
        • M97.42XD Periprosthetic fracture around internal prosthetic left elbow joint, subsequent encounter
        • M97.42XS Periprosthetic fracture around internal prosthetic left elbow joint, sequela
        • M97.8 Periprosthetic fracture around other internal prosthetic joint
        • M97.8XXA Periprosthetic fracture around other internal prosthetic joint, initial encounter
        • M97.8XXD Periprosthetic fracture around other internal prosthetic joint, subsequent encounter
        • M97.8XXS Periprosthetic fracture around other internal prosthetic joint, sequela
        • M97.9 Periprosthetic fracture around unspecified internal prosthetic joint
        • M97.9XXA Periprosthetic fracture around unspecified internal prosthetic joint, initial encounter
        • M97.9XXD Periprosthetic fracture around unspecified internal prosthetic joint, subsequent encounter
        • M97.9XXS Periprosthetic fracture around unspecified internal prosthetic joint, sequela