FY2024
Effective from
- Inherited rules changed
Periprosthetic fracture around unspecified internal prosthetic joint, initial encounter
Billable diagnosis code
CDC/NCHS · FY2024, if known, the specific type and cause of fracture, such as traumatic or pathological
A — initial encounter
D — subsequent encounter
S — sequela
Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.
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 unspecified internal prosthetic joint, initial encounter
Billable diagnosis 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 |
Historical mapping only; not an automatic code substitution.
The official Tabular List has no additional instructions at this code level.
Review the instructions inherited from its parent categories below. Inherited instructions ↓
, 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
Historical assignments from the CDC conversion table support data retrieval. They do not authorize substituting a previous code for the current code.
Previous assignment: T84.049A
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| M97.9XXD | Periprosthetic fracture around unspecified internal prosthetic joint, subsequent encounter | Billable / specific |
| M97.9XXS | Periprosthetic fracture around unspecified internal prosthetic joint, sequela | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗