M97.8

Non-billable

Periprosth fracture around other internal prosthetic joint

Periprosthetic fracture around other 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

Parent Code

M97

Child Codes

3

Coding Notes

Inclusion Terms

Alternative clinical terms for this condition

  • Periprosthetic fracture around internal prosthetic finger joint
  • Periprosthetic fracture around internal prosthetic spinal joint
  • Periprosthetic fracture around internal prosthetic toe joint
  • Periprosthetic fracture around internal prosthetic wrist joint

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

Use Additional Code

Additional codes that should follow this code

  • code to identify the joint (Z96.6-)

Child Codes (3)

Also Known As / Clinical Terms

Frequently Asked Questions

What is ICD-10 code M97.8?

ICD-10-CM code M97.8 represents "Periprosthetic fracture around other internal prosthetic joint". It is a non-billable header code — use a more specific child code for billing purposes.

Is M97.8 a billable code?

No, M97.8 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 3 child codes under M97.8.

What chapter is M97.8 in?

M97.8 is in Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (codes M00-M99).

What are the subcategories under M97.8?

M97.8 has 3 child codes, including: M97.8XXA (Periprosth fracture around other internal prosth joint, init), M97.8XXD (Periprosth fracture around other internal prosth joint, subs), M97.8XXS (Periprosth fx around other internal prosth joint, sequela).

Are additional codes required with M97.8?

Yes, when using M97.8 you should also code: code to identify the joint (Z96.6-).

What are the UMLS CUIs for M97.8?

M97.8 is linked to 5 UMLS Concept Unique Identifiers: C4268870, C4268871, C4268872, C4268873, C4268874. 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.