M97
Periprosthetic fracture around internal prosthetic joint
M97 is a non-billable ICD-10-CM code category for periprosthetic fracture around internal prosthetic joint. 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 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 and 3 more. Its coding notes include a Code first instruction and 12 Excludes2 entries.
7th characters
Every code below needs one of these.
The appropriate 7th character is to be added to each code from category M97
- Ainitial encounter
- Dsubsequent encounter
- Ssequela
Code first
If the underlying condition listed here is present and known, sequence it first.
- , if known, the specific type and cause of fracture, such as traumatic or pathological
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
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
More specific codes under M97 7
- M97.0Periprosthetic fracture around internal prosthetic hip jointHeader
- M97.1Periprosthetic fracture around internal prosthetic knee jointHeader
- M97.2Periprosthetic fracture around internal prosthetic ankle jointHeader
- M97.3Periprosthetic fracture around internal prosthetic shoulder jointHeader
- M97.4Periprosthetic fracture around internal prosthetic elbow jointHeader
- M97.8Periprosthetic fracture around other internal prosthetic joint7th char needed
- M97.9Periprosthetic fracture around unspecified internal prosthetic joint7th char needed