ICD-10-CM › M00-M99 › M96 › M96 Intraoperative and postprocedural... › M96.6

M96.6

Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 6 more specific codes instead:

  • M96.62 Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate (also a header)
  • M96.63 Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate (also a header)
  • M96.65 Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate
  • M96.66 Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate (also a header)
  • M96.67 Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate (also a header)
  • M96.69 Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2012 Added to the draft code set draft Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified

Excludes2 - not included here

  • 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)

Codes in the same group

CodeDescriptionStatus
M96.0 Pseudarthrosis after fusion or arthrodesis Valid
M96.1 Postlaminectomy syndrome, not elsewhere classified Valid
M96.2 Postradiation kyphosis Valid
M96.3 Postlaminectomy kyphosis Valid
M96.4 Postsurgical lordosis Valid
M96.5 Postradiation scoliosis Valid
M96.8 Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified Not billable
M96.A Fracture of ribs, sternum and thorax associated with compression of the chest and cardiopulmonary resuscitation Not billable