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M97.8XXA
Billable

Periprosthetic fracture around other internal prosthetic joint (initial encounter)

Extension type: Initial encounter
Chapter 13: Diseases of the musculoskeletal system and connective tissue

Inclusion Terms

4 items
  • 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

Use Additional Code

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

Billable Code

M97.8XXA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Additional Information from Parent Codes

The following information may apply to this code from its parent codes in the ICD-10 hierarchy. This information is important for proper coding and classification.

Inclusion Terms

4 items

From M97.8:

  • 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

Excludes2

12 items

From M00-M99:

  • 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)

From M97:

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

Code First

1 item

From M97:

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

Use Additional Code

1 item

From M97.8:

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

Notes

1 item

From M00-M99:

  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

7th Character Notes

4 items

From M97:

  • The appropriate 7th character is to be added to each code from category M97
  • A: initial encounter
  • D: subsequent encounter
  • S: sequela
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