ICD-10-CM › M00-M99 › M96 › M96.6 Fracture of bone following... › M96.67

M96.67

Fracture of tibia or fibula 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 3 more specific codes instead:

  • M96.671 Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg
  • M96.672 Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg
  • M96.679 Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified leg

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 tibia or fibula 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.

Codes in the same group

CodeDescriptionStatus
M96.62 Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate Not billable
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
M96.69 Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate Valid