2023 ICD-10-CM Diagnosis Code M97.9XXA

Periprosthetic fracture around unspecified internal prosthetic joint, initial encounter

    2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • M97.9XXA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Periprosth fracture around unsp internal prosth joint, init
  • The 2023 edition of ICD-10-CM M97.9XXA became effective on October 1, 2022.
  • This is the American ICD-10-CM version of M97.9XXA - other international versions of ICD-10 M97.9XXA may differ.
The following code(s) above M97.9XXA 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 M97.9XXA:
  • M00-M99
    2023 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 2022 2023 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
ICD-10-CM M97.9XXA is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 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 M97.9XXA 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
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
ICD-10-CM Codes Adjacent To M97.9XXA
M97.41XS …… sequela
M97.42 Periprosthetic fracture around internal prosthetic left elbow joint
M97.42XA …… initial encounter
M97.42XD …… subsequent encounter
M97.42XS …… sequela
M97.8 Periprosthetic fracture around other internal prosthetic joint
M97.8XXA …… initial encounter
M97.8XXD …… subsequent encounter
M97.8XXS …… sequela
M97.9 Periprosthetic fracture around unspecified internal prosthetic joint
M97.9XXA …… initial encounter
M97.9XXD …… subsequent encounter
M97.9XXS …… sequela
M99 Biomechanical lesions, not elsewhere classified
M99.0 Segmental and somatic dysfunction
M99.00 …… of head region
M99.01 …… of cervical region
M99.02 …… of thoracic region
M99.03 …… of lumbar region
M99.04 …… of sacral region
M99.05 …… of pelvic region

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