M96.671
M96.671 — Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg
Billable / specific codeICD-10-CMright
M96.671 is a billable, specific ICD-10-CM code for fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg. It is valid for submission on a claim.
Risk adjustment
M96.671 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
M96.671 is named in 15 Medicare coverage policies — 9 listing it as supporting medical necessity, and 6 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A58865Billing 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
- A59434Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
Related codes at this level
Codes that share M96.67. If M96.671 is not quite right, the correct code is usually one of these.
Questions about M96.671
- Is M96.671 a billable ICD-10-CM code?
- Yes. M96.671 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does M96.671 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified (M96).