Is M96.679 a billable ICD-10-CM code?

Yes. M96.679 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does M96.679 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).

M96.679

M96.679 — Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg

Billable / specific codeICD-10-CMunspecified

M96.679 is a billable, specific ICD-10-CM code for fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg. It is valid for submission on a claim.

Excludes2 inherited from the categories above M96.679

Also inherited, and the opposite of Excludes1: these conditions are not part of M96.679, but a patient can have both, so you may code both.

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

arthropathy following intestinal bypass (M02.0-)
complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)
disorders associated with osteoporosis (M80)
periprosthetic fracture around internal prosthetic joint (M97.-)
presence of functional implants and other devices (Z96-Z97)

Other codes that can never be billed with M96.679

These codes carry an Excludes1 note pointing at M96.679. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M96.679 alone.

M40Kyphosis and lordosis

Risk adjustment

M96.679 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

M96.679 is named in 8 Medicare coverage policies — 1 listing it as supporting medical necessity, and 7 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
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

M96.679 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share M96.67. If M96.679 is not quite right, the correct code is usually one of these.

Questions about M96.679

Is M96.679 a billable ICD-10-CM code?: Yes. M96.679 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does M96.679 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).