ICD-10-CM Codes
M00-M99 Diseases of the musculoskeletal system and connective tissue
M97-M97 Periprosthetic fracture around internal prosthetic joint
M97- Periprosthetic fracture around internal prosthetic joint
2021 ICD-10-CM Diagnosis Code M97.01XD

2021 ICD-10-CM Diagnosis Code M97.01XD

Periprosthetic fracture around internal prosthetic right hip joint, subsequent encounter

2017 - New Code

2018

2019

2020

2021

Billable/Specific Code

POA Exempt

M97.01XD is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Short description: Periprosth fracture around internal prosth r hip jt, subs
The 2021 edition of ICD-10-CM M97.01XD became effective on October 1, 2020.
This is the American ICD-10-CM version of M97.01XD - other international versions of ICD-10 M97.01XD may differ.

The following code(s) above M97.01XD contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to M97.01XD:

M00-M99
2021 ICD-10-CM Range M00-M99
Diseases of the musculoskeletal system and connective tissue
Note
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Type 2 Excludes
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Diseases of the musculoskeletal system and connective tissue
M97
ICD-10-CM Diagnosis Code M97
Periprosthetic fracture around internal prosthetic joint
Type 2 Excludes
- fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-)
- breakage (fracture) of prosthetic joint (T84.01-)
Periprosthetic fracture around internal prosthetic joint

Present On Admission

POA Help

"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.

M97.01XD is considered exempt from POA reporting.

ICD-10-CM M97.01XD is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):

559 Aftercare, musculoskeletal system and connective tissue with mcc
560 Aftercare, musculoskeletal system and connective tissue with cc
561 Aftercare, musculoskeletal system and connective tissue without cc/mcc

Convert M97.01XD to ICD-9-CM

Code History

2017 (effective 10/1/2016): New code
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change

ICD-10-CM Codes Adjacent To M97.01XD

M96.84 Postprocedural hematoma and seroma of a musculoskeletal structure following a procedure

M96.840 Postprocedural hematoma of a musculoskeletal structure following a musculoskeletal system procedure

M96.841 Postprocedural hematoma of a musculoskeletal structure following other procedure

M96.842 Postprocedural seroma of a musculoskeletal structure following a musculoskeletal system procedure

M96.843 Postprocedural seroma of a musculoskeletal structure following other procedure

M96.89 Other intraoperative and postprocedural complications and disorders of the musculoskeletal system

M97 Periprosthetic fracture around internal prosthetic joint

M97.0 Periprosthetic fracture around internal prosthetic hip joint

M97.01 Periprosthetic fracture around internal prosthetic right hip joint

M97.01XA …… initial encounter

M97.01XD …… subsequent encounter

M97.01XS …… sequela

M97.02 Periprosthetic fracture around internal prosthetic left hip joint

M97.02XA …… initial encounter

M97.02XD …… subsequent encounter

M97.02XS …… sequela

M97.1 Periprosthetic fracture around internal prosthetic knee joint

M97.11 Periprosthetic fracture around internal prosthetic right knee joint

M97.11XA …… initial encounter

M97.11XD …… subsequent encounter

M97.11XS …… sequela

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2021 ICD-10-CM Diagnosis Code M97.01XD

Periprosthetic fracture around internal prosthetic right hip joint, subsequent encounter

Diseases of the musculoskeletal system and connective tissue

Periprosthetic fracture around internal prosthetic joint