M97

Non-billable

Periprosthetic fracture around internal prosthetic joint

Periprosthetic fracture around internal prosthetic joint

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

Status

Non-billable / Header

Block

M97-M97

Child Codes

7

Coding Notes

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)
  • fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-)
  • breakage (fracture) of prosthetic joint (T84.01-)

Code First

The underlying condition must be sequenced before this code

  • , if known, the specific type and cause of fracture, such as traumatic or pathological

7th Character Definitions

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Child Codes (7)

Also Known As / Clinical Terms

Frequently Asked Questions

What is ICD-10 code M97?

ICD-10-CM code M97 represents "Periprosthetic fracture around internal prosthetic joint". It is a non-billable header code — use a more specific child code for billing purposes.

Is M97 a billable code?

No, M97 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 7 child codes under M97.

What chapter is M97 in?

M97 is in Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (codes M00-M99).

What are the subcategories under M97?

M97 has 7 child codes, including: M97.0 (Periprosthetic fracture around internal prosthetic hip joint), M97.1 (Periprosth fracture around internal prosthetic knee joint), M97.2 (Periprosth fracture around internal prosthetic ankle joint), M97.3 (Periprosth fracture around internal prosthetic shoulder jt), and 3 more.

What are the UMLS CUIs for M97?

M97 is linked to 1 UMLS Concept Unique Identifier: C4268824. 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.