ICD-10-CM diagnosis code
M97.9XXS Periprosthetic fracture around unspecified internal prosthetic joint, sequela
- Billable
- Yes, a complete code (FY2026)
- Category
- M97
Encounter (7th character)
This code is for a sequela: a complication or condition that arises as a direct result of the injury. The sequela itself is usually coded first, followed by this code.
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Other codes in M97
36 complete codes in this category.
- M97.41XAPeriprosthetic fracture around internal prosthetic right elbow joint, initial encounter
- M97.41XDPeriprosthetic fracture around internal prosthetic right elbow joint, subsequent encounter
- M97.41XSPeriprosthetic fracture around internal prosthetic right elbow joint, sequela
- M97.42XAPeriprosthetic fracture around internal prosthetic left elbow joint, initial encounter
- M97.42XDPeriprosthetic fracture around internal prosthetic left elbow joint, subsequent encounter
- M97.42XSPeriprosthetic fracture around internal prosthetic left elbow joint, sequela
- M97.8XXAPeriprosthetic fracture around other internal prosthetic joint, initial encounter
- M97.8XXDPeriprosthetic fracture around other internal prosthetic joint, subsequent encounter
- M97.8XXSPeriprosthetic fracture around other internal prosthetic joint, sequela
- M97.9XXAPeriprosthetic fracture around unspecified internal prosthetic joint, initial encounter
- M97.9XXDPeriprosthetic fracture around unspecified internal prosthetic joint, subsequent encounter
- M97.9XXSPeriprosthetic fracture around unspecified internal prosthetic joint, sequela
Documentation tips
- Make sure the note supports every element of the title, “Periprosthetic fracture around unspecified internal prosthetic joint, sequela”: each detail in it should be traceable to the history, examination or assessment.
- Code to the highest specificity the documentation supports. If a detail is missing from the note, add it to the note rather than choosing a less specific code by default.
- Check the Tabular List and official guidelines for instructional notes (“code first”, “use additional code”, Excludes1/Excludes2) that apply to M97.
ICD-10-CM is developed by the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, and is based on the WHO ICD-10. Codes and titles are reproduced unchanged from the FY2026 code list (effective 1 October 2025). Their use here does not imply endorsement by CDC, HHS or the U.S. Government. Changes effective on or after 1 October 2026 may not be reflected yet; check the current release at cdc.gov or cms.gov before submitting claims.
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