Periprosthetic fracture around other internal prosthetic joint, initial encounter

RetiredICD-10-CM diagnosis code.

No longer in the code set. Submitting it will not be accepted for a current date of service.

Billable FY2016 only. In the code set FY2016 only, and removed after that.

Use instead:

M97.21XA Periprosthetic fracture around internal prosthetic right ankle joint, initial encounter stated for FY2016
M97.22XA Periprosthetic fracture around internal prosthetic left ankle joint, initial encounter stated for FY2016
M97.31XA Periprosthetic fracture around internal prosthetic right shoulder joint, initial encounter stated for FY2016
M97.32XA Periprosthetic fracture around internal prosthetic left shoulder joint, initial encounter stated for FY2016
M97.41XA Periprosthetic fracture around internal prosthetic right elbow joint, initial encounter stated for FY2016
M97.42XA Periprosthetic fracture around internal prosthetic left elbow joint, initial encounter stated for FY2016
M97.8XXA Periprosthetic fracture around other internal prosthetic joint, initial encounter stated for FY2016

What has happened to this code

Every change the publisher made, from 2007 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.

FY2007 Added to the draft code set draft Periprosthetic fracture around other internal prosthetic joint, initial encounter
FY2017 Removed from the code set

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 T84 Complications of internal orthopedic prosthetic devices, implants and grafts

Seventh character required

The appropriate 7th character is to be added to each code from category T84

Excludes2 - not included here

failure and rejection of transplanted organs and tissues (T86.-)
fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6)

Inherited from the T80-T88 section Complications of surgical and medical care, not elsewhere classified (T80-T88)

Excludes2 - not included here

any encounters with medical care for postprocedural conditions in which no complications are present, such as:
artificial opening status (Z93.-)
closure of external stoma (Z43.-)
fitting and adjustment of external prosthetic device (Z44.-)
burns and corrosions from local applications and irradiation (T20-T32)
complications of surgical procedures during pregnancy, childbirth and the puerperium (O00-O9A)
mechanical complication of respirator [ventilator] (J95.850)
poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)
postprocedural fever (R50.82)
specified complications classified elsewhere, such as:
cerebrospinal fluid leak from spinal puncture (G97.0)
colostomy malfunction (K94.0-)
disorders of fluid and electrolyte imbalance (E86-E87)
functional disturbances following cardiac surgery (I97.0-I97.1)
intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
ostomy complications (J95.0-, K94.-, N99.5-)
postgastric surgery syndromes (K91.1)
postlaminectomy syndrome NEC (M96.1)
postmastectomy lymphedema syndrome (I97.2)
postsurgical blind-loop syndrome (K91.2)
ventilator associated pneumonia (J95.851)

Use additional code

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
code(s) to identify the specified condition resulting from the complication
code to identify devices involved and details of circumstances (Y62-Y82)

Codes in the same group

Code	Description	Status
T84.048D	Periprosthetic fracture around other internal prosthetic joint, subsequent encounter	Retired
T84.048S	Periprosthetic fracture around other internal prosthetic joint, sequela	Retired