Periprosthetic fracture around internal prosthetic hip joint

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, FY2017 onwards. It has never been valid for submission on its own.

Submit one of these 2 more specific codes instead:

M97.01 Periprosthetic fracture around internal prosthetic right hip joint (also a header)
M97.02 Periprosthetic fracture around internal prosthetic left hip joint (also a header)

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2017 to now.

FY2017 Added to the code set Periprosthetic fracture around internal prosthetic hip joint

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 M97 Periprosthetic fracture around internal prosthetic joint

Seventh character required

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

Excludes2 - not included here

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

Code first

, if known, the specific type and cause of fracture, such as traumatic or pathological

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.

Fracture, traumatic > joint prosthesis > periprosthetic
Fracture, pathological > joint prosthesis > periprosthetic
Fracture, pathological > periprosthetic > hip
Fracture, traumatic > periprosthetic, around internal prosthetic joint > hip

Codes in the same group

Code	Description	Status
M97.1	Periprosthetic fracture around internal prosthetic knee joint	Not billable
M97.2	Periprosthetic fracture around internal prosthetic ankle joint	Not billable
M97.3	Periprosthetic fracture around internal prosthetic shoulder joint	Not billable
M97.4	Periprosthetic fracture around internal prosthetic elbow joint	Not billable
M97.8	Periprosthetic fracture around other internal prosthetic joint	Not billable
M97.9	Periprosthetic fracture around unspecified internal prosthetic joint	Not billable