ICD-10-CM › M00-M99 › M96 › M96.6 Fracture of bone following... › M96.62
Fracture of humerus 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.
Submit one of these 3 more specific codes instead:
- M96.621 Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm
- M96.622 Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
- M96.629 Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm
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.
- FY2012 Added to the draft code set draft Fracture of humerus 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)
How CDC's index refers to this code
Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.
- Complication > orthopedic > fracture
- Complication > surgical procedure > musculoskeletal
- Breakdown > device, graft or implant > orthopedic NEC
- Complication > orthopedic > postprocedural > fracture
- Malposition > device, implant or graft > orthopedic NEC
- Leak, leakage > device, implant or graft > orthopedic NEC
- Protrusion, protrusio > device, implant or graft > orthopedic NEC
- Displacement, displaced > device, implant or graft > orthopedic NEC
- Perforation, perforated > by > device, implant or graft > orthopedic NEC
- Obstruction, obstructed, obstructive > device, implant or graft > orthopedic NEC
- Complication > musculoskeletal system > postoperative > fracture following insertion of device
- Fracture, traumatic > bone NEC > following insertion of orthopedic implant, joint prosthesis or bone plate
- Fracture, traumatic > humerus > following insertion of implant, prosthesis or plate
- Fracture, traumatic > following insertion of orthopedic implant, joint prosthesis or bone plate > humerus
Codes in the same group
| Code | Description | Status |
|---|---|---|
| M96.63 | Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate | Not billable |
| M96.65 | Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate | Valid |
| M96.66 | Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate | Not billable |
| M96.67 | Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate | Not billable |
| M96.69 | Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate | Valid |