M97.8

M97.8: Periprosthetic fracture around other internal prosthetic joint

Non-billable headerICD-10-CM

M97.8 is a non-billable header ICD-10-CM code for periprosthetic fracture around other internal prosthetic joint. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

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

A: initial encounter
D: subsequent encounter
S: sequela

Use additional code

Add a secondary code to capture the detail described below.

code to identify the joint (Z96.6-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

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 inherited from the categories above M97.8

Not part of this code, but both may be coded when both are present.

Written on M97: Periprosthetic fracture around internal prosthetic joint

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

Other codes that can never be billed with M97.8

Their own Excludes1 notes name this code, so the conflict is not listed above.

T84.01Broken internal joint prosthesis

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Fracture, pathological›periprosthetic›finger
Fracture, pathological›periprosthetic›other specified joint
Fracture, pathological›periprosthetic›spinal joint
Fracture, pathological›periprosthetic›toe joint
Fracture, pathological›periprosthetic›wrist joint
Fracture, traumatic›periprosthetic, around internal prosthetic joint›finger
Fracture, traumatic›periprosthetic, around internal prosthetic joint›specified joint NEC
Fracture, traumatic›periprosthetic, around internal prosthetic joint›spine
Fracture, traumatic›periprosthetic, around internal prosthetic joint›toe
Fracture, traumatic›periprosthetic, around internal prosthetic joint›wrist