Periprosthetic fracture around other internal prosthetic joint, subsequent encounter
Billable / specificPOA exempt
M97.8XXD 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 M97)
- 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.
- arthropathic psoriasis (L40.5-) (from M97)
- certain conditions originating in the perinatal period (P04-P96) (from M97)
- certain infectious and parasitic diseases (A00-B99) (from M97)
- compartment syndrome (traumatic) (T79.A-) (from M97)
- complications of pregnancy, childbirth and the puerperium (O00-O9A) (from M97)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) (from M97)
- endocrine, nutritional and metabolic diseases (E00-E88) (from M97)
- injury, poisoning and certain other consequences of external causes (S00-T88) (from M97)
- neoplasms (C00-D49) (from M97)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from M97)
- fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-) (from M97)
- breakage (fracture) of prosthetic joint (T84.01-) (from M97)
Code first
Sequence the underlying condition first.
- , if known, the specific type and cause of fracture, such as traumatic or pathological (from M97)
Use additional code
Add a code to identify the following, if applicable.
7th character
The 7th character values that apply to this code (defined at M97). Use the placeholder "X" for missing positions.
| Character | Meaning |
|---|---|
| A | initial encounter |
| D | subsequent encounter |
| S | sequela |
Parent code
- M97.8Periprosthetic fracture around other internal prosthetic jointNeeds 7th char