Alphabetic Index FY2027

M96.6

Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate

FY2027Chapter 13: Diseases of the musculoskeletal system and connective tissue/M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

M96.6 is a non-billable ICD-10-CM code header for fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are M96.62 Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate; M96.63 Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate; M96.65 Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate; M96.66 Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate and 2 more. Its coding notes include 16 Excludes2 entries.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

Intraoperative and postprocedural complications are coded from the body system chapters unless the complication is specifically indexed to a T code.

Guidelines I.C.19.g.5Postprocedural complications in the body system chaptersRead the official text

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
  • complication of internal orthopedic devices, implants or grafts (T84.-)
Inherited from M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
  • arthropathy following intestinal bypass (M02.0-)
  • complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)
  • disorders associated with osteoporosis (M80)
  • periprosthetic fracture around internal prosthetic joint (M97.-)
  • presence of functional implants and other devices (Z96-Z97)
Also from chapter/block level (10 notes)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • 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)

Inclusion terms

Conditions classified to this code.

This code
  • Intraoperative fracture of bone during insertion of orthopedic implant, joint prosthesis, or bone plate

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

More specific codes under M96.6 6