M96.639: Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm
M96.639 is a billable, specific ICD-10-CM code for fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm. It is valid for submission on a claim.
Check M96.639 with the rest of the claim: free scrubberExcludes2 inherited from the categories above M96.639
Not part of this code, but both may be coded when both are present.
Written on M96.6: Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate
- complication of internal orthopedic devices, implants or grafts (T84.-)
Written on M96: Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
Other codes that can never be billed with M96.639
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M40Kyphosis and lordosis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
M96.639 is named in 8 Medicare coverage policies: 1 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
- A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Code history
Unchanged in every release from FY2024 to FY2027.