M96.6

Non-billable

Fx bone following insrt ortho implnt/prosth/bone plt

Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate

This is a header/category code. For billing purposes, use a more specific child code from the list below.

Status

Non-billable / Header

Block

M96-M96

Parent Code

M96

Child Codes

6

Coding Notes

Inclusion Terms

Alternative clinical terms for this condition

  • Intraoperative fracture of bone during insertion of orthopedic implant, joint prosthesis, or bone plate

Excludes 2

Conditions not included here, but the patient may have both

  • 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)
  • arthropathy following intestinal bypass (M02.0-)
  • complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)
  • disorders associated with osteoporosis (M80)
  • periprosthetic fracture around internal prosthetic joint (M97.-)
  • presence of functional implants and other devices (Z96-Z97)
  • complication of internal orthopedic devices, implants or grafts (T84.-)

Child Codes (6)

Also Known As / Clinical Terms

Frequently Asked Questions

What is ICD-10 code M96.6?

ICD-10-CM code M96.6 represents "Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate". It is a non-billable header code — use a more specific child code for billing purposes.

Is M96.6 a billable code?

No, M96.6 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 6 child codes under M96.6.

What chapter is M96.6 in?

M96.6 is in Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (codes M00-M99).

What are the subcategories under M96.6?

M96.6 has 6 child codes, including: M96.62 (Fx humerus following insrt ortho implnt/prosth/bone plt), M96.63 (Fx rad/ulna following insrt ortho implnt/prosth/bone plt), M96.65 (Fx pelvis following insrt ortho implnt/prosth/bone plt), M96.66 (Fx femur following insrt ortho implnt/prosth/bone plt), and 2 more.

What are the UMLS CUIs for M96.6?

M96.6 is linked to 2 UMLS Concept Unique Identifiers: C0477707, C2902726. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.