FY2024
Effective from
- Inherited rules changed
Periprosthetic fracture around other internal prosthetic joint
Category — select a more specific code
CDC/NCHS · FY2024code to identify the joint (Z96.6-)
, if known, the specific type and cause of fracture, such as traumatic or pathological
A — initial encounter
D — subsequent encounter
S — sequela
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗First observed · 2016-10-01
Latest recorded change · FY2024
Effective from
Periprosthetic fracture around other internal prosthetic joint
Category — select a more specific code
CDC/NCHS · FY2024| All editions | Effective from | Code history |
|---|---|---|
| FY2017 | 2016-10-01 | Added |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | No tabular change |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | Inherited rules changed |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
code to identify the joint (Z96.6-)
, if known, the specific type and cause of fracture, such as traumatic or pathological
The appropriate 7th character is to be added to each code from category M97
A — initial encounter
D — subsequent encounter
S — sequela
Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
M97.8XXAPeriprosthetic fracture around other internal prosthetic joint, initial encounterBillable / specificM97.8XXDPeriprosthetic fracture around other internal prosthetic joint, subsequent encounterBillable / specificM97.8XXSPeriprosthetic fracture around other internal prosthetic joint, sequelaBillable / specificOther entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| M97.0 | Periprosthetic fracture around internal prosthetic hip joint | Category · further specificity required |
| M97.1 | Periprosthetic fracture around internal prosthetic knee joint | Category · further specificity required |
| M97.2 | Periprosthetic fracture around internal prosthetic ankle joint | Category · further specificity required |
| M97.3 | Periprosthetic fracture around internal prosthetic shoulder joint | Category · further specificity required |
| M97.4 | Periprosthetic fracture around internal prosthetic elbow joint | Category · further specificity required |
| M97.9 | Periprosthetic fracture around unspecified internal prosthetic joint | Category · further specificity required |
Official titles and instructions are preserved in their source language. Official sources ↗