POA Exempt: Periprosthetic fracture around internal prosthetic joint (M97) ICD-10-CM
The 24 ICD-10-CM codes in this range are exempt from Present on Admission reporting for fiscal year 2026. Hospitals assign no POA indicator for them on inpatient claims: the codes describe circumstances, such as pre-existing conditions or the cause of an injury, where asking whether the condition was present at admission adds no information.
Exempt Codes in This Range 24 codes · 1 category
M97 Periprosthetic fracture around internal prosthetic joint24 codes
- M97.01XD Periprosthetic fracture around internal prosthetic right hip joint, subsequent encounter
- M97.01XS Periprosthetic fracture around internal prosthetic right hip joint, sequela
- M97.02XD Periprosthetic fracture around internal prosthetic left hip joint, subsequent encounter
- M97.02XS Periprosthetic fracture around internal prosthetic left hip joint, sequela
- M97.11XD Periprosthetic fracture around internal prosthetic right knee joint, subsequent encounter
- M97.11XS Periprosthetic fracture around internal prosthetic right knee joint, sequela
- M97.12XD Periprosthetic fracture around internal prosthetic left knee joint, subsequent encounter
- M97.12XS Periprosthetic fracture around internal prosthetic left knee joint, sequela
- M97.21XD Periprosthetic fracture around internal prosthetic right ankle joint, subsequent encounter
- M97.21XS Periprosthetic fracture around internal prosthetic right ankle joint, sequela
- M97.22XD Periprosthetic fracture around internal prosthetic left ankle joint, subsequent encounter
- M97.22XS Periprosthetic fracture around internal prosthetic left ankle joint, sequela
- M97.31XD Periprosthetic fracture around internal prosthetic right shoulder joint, subsequent encounter
- M97.31XS Periprosthetic fracture around internal prosthetic right shoulder joint, sequela
- M97.32XD Periprosthetic fracture around internal prosthetic left shoulder joint, subsequent encounter
- M97.32XS Periprosthetic fracture around internal prosthetic left shoulder joint, sequela
- M97.41XD Periprosthetic fracture around internal prosthetic right elbow joint, subsequent encounter
- M97.41XS Periprosthetic fracture around internal prosthetic right elbow joint, sequela
- M97.42XD Periprosthetic fracture around internal prosthetic left elbow joint, subsequent encounter
- M97.42XS Periprosthetic fracture around internal prosthetic left elbow joint, sequela
- M97.8XXD Periprosthetic fracture around other internal prosthetic joint, subsequent encounter
- M97.8XXS Periprosthetic fracture around other internal prosthetic joint, sequela
- M97.9XXD Periprosthetic fracture around unspecified internal prosthetic joint, subsequent encounter
- M97.9XXS Periprosthetic fracture around unspecified internal prosthetic joint, sequela
Questions About This Category
Why are these codes POA exempt?
The codes for periprosthetic fracture around internal prosthetic joint describe circumstances where the Present on Admission question has no meaning, so CMS exempts them from the indicator. The exemption is published in the official FY 2026 CMS exempt file.
How many codes in this range are exempt?
The FY 2026 exempt list contains 24 codes in this range, effective October 1, 2025 through September 30, 2026.
Are these codes billable?
The exemption only removes the POA indicator requirement, it does not change how a code is used on claims. Billable status is shown per code: blue codes are billable, and any codes shown in the amber tone are category headers that need more characters.
More POA Exempt Categories
Source: CMS FY 2026 ICD-10-CM POA exempt file, effective October 1, 2025 through September 30, 2026. See also the Medicare Code Edits and the MS-DRG list.
