2021 ICD-10-CM Diagnosis Code M97.11XD

Periprosthetic fracture around internal prosthetic right knee joint, subsequent encounter

    2017 - New Code 2018 2019 2020 2021 Billable/Specific Code POA Exempt
  • M97.11XD 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 knee jt, subs
  • The 2021 edition of ICD-10-CM M97.11XD became effective on October 1, 2020.
  • This is the American ICD-10-CM version of M97.11XD - other international versions of ICD-10 M97.11XD may differ.
The following code(s) above M97.11XD 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 M97.11XD:
  • 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

      2017 - New Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    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.
  • M97.11XD is considered exempt from POA reporting.
ICD-10-CM M97.11XD 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 M97.11XD 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 M97.11XD
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
M97.12 Periprosthetic fracture around internal prosthetic left knee joint
M97.12XA …… initial encounter
M97.12XD …… subsequent encounter
M97.12XS …… sequela
M97.2 Periprosthetic fracture around internal prosthetic ankle joint
M97.21 Periprosthetic fracture around internal prosthetic right ankle joint
M97.21XA …… initial encounter
M97.21XD …… subsequent encounter
M97.21XS …… sequela

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