M97 Non-Billable Code
Periprosthetic fracture around internal prosthetic joint
Chapter Classification
Chapter 13
Diseases of the musculoskeletal system and connective tissue (M00-M99)
Section Detail
M97
Periprosthetic fracture around internal prosthetic joint (M97)
Coding Guidelines & Notes
codeFirst
- , if known, the specific type and cause of fracture, such as traumatic or pathological
excludes2
- fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-)
- breakage (fracture) of prosthetic joint (T84.01-)
sevenChrDef
- {'char': 'A', 'text': 'initial encounter'}
- {'char': 'D', 'text': 'subsequent encounter'}
- {'char': 'S', 'text': 'sequela'}
sevenChrNote
- The appropriate 7th character is to be added to each code from category M97
More Specific Diagnosis Codes
This code is not billable as it requires a higher level of specificity. Select a more specific code below.
- M97.0 - Periprosthetic fracture around internal prosthetic hip joint
- M97.1 - Periprosthetic fracture around internal prosthetic knee joint
- M97.2 - Periprosthetic fracture around internal prosthetic ankle joint
- M97.3 - Periprosthetic fracture around internal prosthetic shoulder joint
- M97.4 - Periprosthetic fracture around internal prosthetic elbow joint
- M97.8 - Periprosthetic fracture around other internal prosthetic joint Billable
- M97.9 - Periprosthetic fracture around unspecified internal prosthetic joint Billable
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