M96.62
Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate
M96.62 is a non-billable ICD-10-CM code header for fracture of humerus 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 M96.621 Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm; M96.622 Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm and M96.629 Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm. 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.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
- complication of internal orthopedic devices, implants or grafts (T84.-)
Also from chapter/block level (10 notes)
- 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)
Notes
Also from chapter/block level (1 note)
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 2 entries
More specific codes under M96.62 3
- M96.621Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right armBillable
- M96.622Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left armBillable
- M96.629Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified armBillable