2021 ICD-10-CM Codes for Periprosthetic fracture around internal prosthetic joint (M97)

Instructional Notations

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.

  • 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 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 7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela
    • ICD-10 Index

      • 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 NON-BILLABLE CODE
            • M97.0 - Periprosthetic fracture around internal prosthetic hip joint NON-BILLABLE CODE
            • M97.01 - Periprosthetic fracture around internal prosthetic r hip jt NON-BILLABLE CODE
            • M97.01XA - Periprosth fracture around internal prosth r hip jt, init BILLABLE CODE
            • M97.01XD - Periprosth fracture around internal prosth r hip jt, subs BILLABLE CODE
            • M97.01XS - Periprosth fracture around internal prosth r hip jt, sequela BILLABLE CODE
            • M97.02 - Periprosthetic fracture around internal prosthetic l hip jt NON-BILLABLE CODE
            • M97.02XA - Periprosth fracture around internal prosth l hip jt, init BILLABLE CODE
            • M97.02XD - Periprosth fracture around internal prosth l hip jt, subs BILLABLE CODE
            • M97.02XS - Periprosth fracture around internal prosth l hip jt, sequela BILLABLE CODE
            • M97.1 - Periprosth fracture around internal prosthetic knee joint NON-BILLABLE CODE
            • M97.11 - Periprosthetic fracture around internal prosthetic r knee jt NON-BILLABLE CODE
            • M97.11XA - Periprosth fracture around internal prosth r knee jt, init BILLABLE CODE
            • M97.11XD - Periprosth fracture around internal prosth r knee jt, subs BILLABLE CODE
            • M97.11XS - Periprosth fx around internal prosth r knee jt, sequela BILLABLE CODE
            • M97.12 - Periprosthetic fracture around internal prosthetic l knee jt NON-BILLABLE CODE
            • M97.12XA - Periprosth fracture around internal prosth l knee jt, init BILLABLE CODE
            • M97.12XD - Periprosth fracture around internal prosth l knee jt, subs BILLABLE CODE
            • M97.12XS - Periprosth fx around internal prosth l knee jt, sequela BILLABLE CODE
            • M97.2 - Periprosth fracture around internal prosthetic ankle joint NON-BILLABLE CODE
            • M97.21 - Periprosth fracture around internal prosthetic r ankle joint NON-BILLABLE CODE
            • M97.21XA - Periprosth fx around internal prosth r ankle joint, init BILLABLE CODE
            • M97.21XD - Periprosth fx around internal prosth r ankle joint, subs BILLABLE CODE
            • M97.21XS - Periprosth fx around internal prosth r ankle joint, sequela BILLABLE CODE
            • M97.22 - Periprosth fracture around internal prosthetic l ankle joint NON-BILLABLE CODE
            • M97.22XA - Periprosth fx around internal prosth l ankle joint, init BILLABLE CODE
            • M97.22XD - Periprosth fx around internal prosth l ankle joint, subs BILLABLE CODE
            • M97.22XS - Periprosth fx around internal prosth l ankle joint, sequela BILLABLE CODE
            • M97.3 - Periprosth fracture around internal prosthetic shoulder jt NON-BILLABLE CODE
            • M97.31 - Periprosth fracture around internal prosthetic r shoulder jt NON-BILLABLE CODE
            • M97.31XA - Periprosth fx around internal prosth r shoulder jt, init BILLABLE CODE
            • M97.31XD - Periprosth fx around internal prosth r shoulder jt, subs BILLABLE CODE
            • M97.31XS - Periprosth fx around internal prosth r shoulder jt, sequela BILLABLE CODE
            • M97.32 - Periprosth fracture around internal prosthetic l shoulder jt NON-BILLABLE CODE
            • M97.32XA - Periprosth fx around internal prosth l shoulder jt, init BILLABLE CODE
            • M97.32XD - Periprosth fx around internal prosth l shoulder jt, subs BILLABLE CODE
            • M97.32XS - Periprosth fx around internal prosth l shoulder jt, sequela BILLABLE CODE
            • M97.4 - Periprosth fracture around internal prosthetic elbow joint NON-BILLABLE CODE
            • M97.41 - Periprosth fracture around internal prosthetic r elbow joint NON-BILLABLE CODE
            • M97.41XA - Periprosth fx around internal prosth r elbow joint, init BILLABLE CODE
            • M97.41XD - Periprosth fx around internal prosth r elbow joint, subs BILLABLE CODE
            • M97.41XS - Periprosth fx around internal prosth r elbow joint, sequela BILLABLE CODE
            • M97.42 - Periprosth fracture around internal prosthetic l elbow joint NON-BILLABLE CODE
            • M97.42XA - Periprosth fx around internal prosth l elbow joint, init BILLABLE CODE
            • M97.42XD - Periprosth fx around internal prosth l elbow joint, subs BILLABLE CODE
            • M97.42XS - Periprosth fx around internal prosth l elbow joint, sequela BILLABLE CODE
            • M97.8 - Periprosth fracture around other internal prosthetic joint NON-BILLABLE CODE
            • M97.8XXA - Periprosth fracture around other internal prosth joint, init BILLABLE CODE
            • M97.8XXD - Periprosth fracture around other internal prosth joint, subs BILLABLE CODE
            • M97.8XXS - Periprosth fx around other internal prosth joint, sequela BILLABLE CODE
            • M97.9 - Periprosth fracture around unsp internal prosthetic joint NON-BILLABLE CODE
            • M97.9XXA - Periprosth fracture around unsp internal prosth joint, init BILLABLE CODE
            • M97.9XXD - Periprosth fracture around unsp internal prosth joint, subs BILLABLE CODE
            • M97.9XXS - Periprosth fx around unsp internal prosth joint, sequela BILLABLE CODE