M97.9
Periprosthetic fracture around unspecified internal prosthetic joint
M97.9 is a non-billable ICD-10-CM code header for periprosthetic fracture around unspecified internal prosthetic joint. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. A 7th character is required to complete the code. Its coding notes include a Code first instruction and 12 Excludes2 entries.
7th character
Category M97 requires a 7th character. M97.9 has only 4 characters, so a placeholder X fills the empty positions.
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
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 2 entries
7th-character codes under M97.9 3
- M97.9XXAPeriprosthetic fracture around unspecified internal prosthetic joint, initial encounterBillable
- M97.9XXDPeriprosthetic fracture around unspecified internal prosthetic joint, subsequent encounterBillable
- M97.9XXSPeriprosthetic fracture around unspecified internal prosthetic joint, sequelaBillable