- ICD-10-CM Codes ›
- M00-M99 ›
- M97-M97 ›
- M97- ›
- 2024 ICD-10-CM Diagnosis Code M97.0
Periprosthetic fracture around internal prosthetic hip joint
- 2017 - New Code 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
- M97.0 should not be used for reimbursem*nt purposes as there are multiple codes below it that contain a greater level of detail.
- The 2024 edition of ICD-10-CM M97.0 became effective on October 1, 2023.
- This is the American ICD-10-CM version of M97.0 - other international versions of ICD-10 M97.0 may differ.
The following code(s) above M97.0 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
- Applicable To annotations, or
- Code Also annotations, or
- Code First annotations, or
- Excludes1 annotations, or
- Excludes2 annotations, or
- Includes annotations, or
- Note annotations, or
- Use Additional annotations
that may be applicable to M97.0:
- M00-M99
2024 ICD-10-CM Range M00-M99
Diseases of the musculoskeletal system and connective tissueDiseases of the musculoskeletal system and connective tissue
Note
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Type 2 Excludes
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- M97
ICD-10-CM Diagnosis Code M97
Periprosthetic fracture around internal prosthetic jointPeriprosthetic fracture around internal prosthetic joint
- 2017 - New Code 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
Code First
- , if known, the specific type and cause of fracture, such as traumatic or pathological
Type 2 Excludes
- fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-)
- breakage (fracture) of prosthetic joint (T84.01-)
Code History
- 2017 (effective 10/1/2016): New code
- 2018 (effective 10/1/2017): No change
- 2019 (effective 10/1/2018): No change
- 2020 (effective 10/1/2019): No change
- 2021 (effective 10/1/2020): No change
- 2022 (effective 10/1/2021): No change
- 2023 (effective 10/1/2022): No change
- 2024 (effective 10/1/2023): No change
Code annotations containing back-references to M97.0:
- Type 2 Excludes: S72
ICD-10-CM Diagnosis Code S72
Fracture of femur
- 2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
Note
- A fracture not indicated as displaced or nondisplaced should be coded to displaced
- A fracture not indicated as open or closed should be coded to closed
- The open fracture designations are based on the Gustilo open fracture classification
Type 1 Excludes
- traumatic amputation of hip and thigh (S78.-)
Type 2 Excludes
- fracture of lower leg and ankle (S82.-)
- fracture of foot (S92.-)
- periprosthetic fracture of prosthetic implant of hip (M97.0-)
Diagnosis Index entries containing back-references to M97.0:
- Fracture, pathological (pathologic) - see also Fracture, traumatic M84.40
- Fracture, traumatic (abduction) (adduction) (separation) T14.8 - see also Fracture, pathological
ICD-10-CM Diagnosis Code T14.8
Other injury of unspecified body region
- 2016 2017 2018 - Converted to Parent Code 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
Applicable To
- Abrasion NOS
- Contusion NOS
- Crush injury NOS
- Fracture NOS
- Skin injury NOS
- Vascular injury NOS
- Wound NOS
ICD-10-CM Codes Adjacent To M97.0
M96.842 Postprocedural seroma of a musculoskeletal structure following a musculoskeletal system procedure
M96.843 Postprocedural seroma of a musculoskeletal structure following other procedure
M96.89 Other intraoperative and postprocedural complications and disorders of the musculoskeletal system
M96.A Fracture of ribs, sternum and thorax associated with compression of the chest and cardiopulmonary resuscitation
M96.A1 Fracture of sternum associated with chest compression and cardiopulmonary resuscitation
M96.A2 Fracture of one rib associated with chest compression and cardiopulmonary resuscitation
M96.A3 Multiple fractures of ribs associated with chest compression and cardiopulmonary resuscitation
M96.A4 Flail chest associated with chest compression and cardiopulmonary resuscitation
M96.A9 Other fracture associated with chest compression and cardiopulmonary resuscitation
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 …… initial encounter
M97.01XD …… subsequent encounter
M97.01XS …… sequela
M97.02 Periprosthetic fracture around internal prosthetic left hip joint
M97.02XA …… initial encounter
M97.02XD …… subsequent encounter
M97.02XS …… sequela
M97.1 Periprosthetic fracture around internal prosthetic knee joint
M97.11 Periprosthetic fracture around internal prosthetic right knee joint
Reimbursem*nt claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
