M97

ICD-10Non-billable category

Periprosthetic fracture around internal prosthetic joint

Official ICD-10-CM descriptor (FY2026)

Periprosthetic fracture around internal prosthetic joint

M97 is a category heading, not a billable code. CMS does not accept it on a claim; report one of the more specific codes beneath it.

Excludes2

Not included here. The condition is not part of this code, but a patient may have both, and both codes may be reported together.

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

Code first

Sequence the underlying condition before this code.

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

7th character

  • The appropriate 7th character is to be added to each code from category M97

Permitted 7th characters

Ainitial encounter
Dsubsequent encounter
Ssequela

More specific codes under M97

Where this code sits

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Source

ICD-10-CM FY2026. Centers for Medicare & Medicaid Services (CMS) / National Center for Health Statistics (NCHS), “2026 ICD-10-CM Code Descriptions in Tabular Order” (icd10cm_order_2026.txt). Download the original file from cms.gov. Public domain (US Government work). Descriptors, billable flags and instructional notes on this page are reproduced from that file without modification. Krasyn adds no clinical guidance.

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