M97 Periprosthetic fracture around internal prosthetic joint
ICD-10-CM category M97 sits in Chapter 13 (Diseases of the musculoskeletal system and connective tissue, M00-M99). It contains 36 billable codes for FY2027, effective October 1, 2026 to September 30, 2027. Always code to the most specific code available: a code with more characters that describes the diagnosis more precisely takes priority over a shorter one.
Subcategories
M97.0 Periprosthetic fracture around internal prosthetic hip jointM97.01 Periprosthetic fracture around internal prosthetic r hip jtM97.02 Periprosthetic fracture around internal prosthetic l hip jtM97.1 Periprosth fracture around internal prosthetic knee jointM97.11 Periprosthetic fracture around internal prosthetic r knee jtM97.12 Periprosthetic fracture around internal prosthetic l knee jtM97.2 Periprosth fracture around internal prosthetic ankle jointM97.21 Periprosth fracture around internal prosthetic r ankle jointM97.22 Periprosth fracture around internal prosthetic l ankle jointM97.3 Periprosth fracture around internal prosthetic shoulder jtM97.31 Periprosth fracture around internal prosthetic r shoulder jtM97.32 Periprosth fracture around internal prosthetic l shoulder jtM97.4 Periprosth fracture around internal prosthetic elbow jointM97.41 Periprosth fracture around internal prosthetic r elbow jointM97.42 Periprosth fracture around internal prosthetic l elbow jointM97.8 Periprosth fracture around other internal prosthetic jointM97.9 Periprosth fracture around unsp internal prosthetic joint
Billable codes in M97
| Code | Description |
|---|---|
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 |
M97.02XA | 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 |
M97.11XA | 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 |
M97.12XA | 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 |
M97.21XA | 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 |
M97.22XA | 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 |
M97.31XA | 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 |
M97.32XA | 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 |
M97.41XA | 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 |
M97.42XA | 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 |
M97.8XXA | 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 |
M97.9XXA | 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 |
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