M97
Non-billablePeriprosthetic 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 psoriasisL40.5
- •certain conditions originating in the perinatal periodP04-P96
- •certain infectious and parasitic diseasesA00-B99
- •compartment syndrome (traumatic)A-)T79
- •complications of pregnancy, childbirth and the puerperiumO9A)O00
- •congenital malformations, deformations, and chromosomal abnormalitiesQ00-Q99
- •endocrine, nutritional and metabolic diseasesE00-E88
- •injury, poisoning and certain other consequences of external causesS00-T88
- •neoplasmsC00-D49
- •symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classifiedR00-R94
- •fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plateM96.6
- •breakage (fracture) of prosthetic jointT84.01
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)
M97.0Periprosthetic fracture around internal prosthetic hip joint
M97.1Periprosth fracture around internal prosthetic knee joint
M97.2Periprosth fracture around internal prosthetic ankle joint
M97.3Periprosth fracture around internal prosthetic shoulder jt
M97.4Periprosth fracture around internal prosthetic elbow joint
M97.8Periprosth fracture around other internal prosthetic joint
M97.9Periprosth fracture around unsp internal prosthetic joint
Also Known As / Clinical Terms(1)
Frequently Asked Questions
What is the ICD-10 code for periprosthetic fracture around internal prosthetic joint?
The ICD-10-CM code for periprosthetic fracture around internal prosthetic joint is M97. The full clinical description is "Periprosthetic fracture around internal prosthetic joint". M97 is a non-billable header code. Use a more specific child code for billing purposes.
What does ICD-10 code M97 mean?
ICD-10-CM code M97 represents “Periprosthetic fracture around internal prosthetic joint”. It is classified under Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue and 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.
How does M97 relate to ICF functioning codes?
ICF (International Classification of Functioning, Disability and Health) codes describe how conditions like periprosthetic fracture around internal prosthetic joint affect a person's functioning — body functions, activities, participation, and environmental factors. AutoICD provides ICF Core Sets for 12+ conditions and can map clinical text to ICF categories automatically. Browse the ICF directory to explore functioning codes.
What is the ICD-11 equivalent of M97?
There is no direct ICD-11 mapping available for M97 in the WHO crosswalk tables. This may mean the concept is classified differently in ICD-11. Use the ICD-10 to ICD-11 converter to search for related codes.
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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.