Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate
Billable / specific
M96.69 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.
Inclusion terms
Includes (from M96)
- Note: Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Excludes2
Not included here — may be reported together when both conditions exist.
- complication of internal orthopedic devices, implants or grafts (T84.-) (from M96.6)
- arthropathic psoriasis (L40.5-) (from M96)
- certain conditions originating in the perinatal period (P04-P96) (from M96)
- certain infectious and parasitic diseases (A00-B99) (from M96)
- compartment syndrome (traumatic) (T79.A-) (from M96)
- complications of pregnancy, childbirth and the puerperium (O00-O9A) (from M96)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) (from M96)
- endocrine, nutritional and metabolic diseases (E00-E88) (from M96)
- injury, poisoning and certain other consequences of external causes (S00-T88) (from M96)
- neoplasms (C00-D49) (from M96)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from M96)
- arthropathy following intestinal bypass (M02.0-) (from M96)
- complications of internal orthopedic prosthetic devices, implants and grafts (T84.-) (from M96)
- disorders associated with osteoporosis (M80) (from M96)
- periprosthetic fracture around internal prosthetic joint (M97.-) (from M96)
- presence of functional implants and other devices (Z96-Z97) (from M96)
Also known as
- Fracture, traumatic, following insertionof orthopedic implant, joint prosthesis or bone plate
- Fracture, traumatic, following insertionof orthopedic implant, joint prosthesis or bone plate, specified bone NEC
Parent code
- M96.6Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plateHeader
Related codes
- M96.62Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plateHeader
- M96.63Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plateHeader
- M96.65Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plateBillable
- M96.66Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plateHeader
- M96.67Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plateHeader