ICDwise
M97 ⚠ Non-billable

Periprosthetic fracture around internal prosthetic joint

ICD-10-CM · FY2026 · Diseases of the Musculoskeletal System and Connective Tissue

Code
M97
System
ICD-10-CM
Billable
No — use specific code
Effective
FY2026
Chapter
Diseases of the Musculoskeletal System and Connective Tissue
Source
CMS / CDC NCHS
⚠ Verify before billing. Confirm against the current CMS/NCHS ICD-10-CM files and your payer's rules before claims submission.

Official coding notes

From CMS's ICD-10-CM Tabular List.

Excludes2 — not included here, but may code together
  • fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-)
  • breakage (fracture) of prosthetic joint (T84.01-)
Code first
  • , if known, the specific type and cause of fracture, such as traumatic or pathological
7th character
  • The appropriate 7th character is to be added to each code from category M97

Frequently asked questions

What is ICD-10 code M97?
ICD-10-CM code M97 represents Periprosthetic fracture around internal prosthetic joint. It is a non-billable header code requiring a more specific subcategory in the Diseases of the Musculoskeletal System and Connective Tissue chapter, effective October 1, 2025 – September 30, 2026.
Is M97 billable?
No. M97 is a non-billable header. Select a more specific subcategory for claims submission.
What chapter is M97 in?
M97 belongs to the Diseases of the Musculoskeletal System and Connective Tissue chapter (M00–M99) of ICD-10-CM.

Related codes in the M97 category

M97.0 Periprosthetic fracture around internal prosthetic hip joint Non-billable M97.1 Periprosthetic fracture around internal prosthetic knee joint Non-billable M97.2 Periprosthetic fracture around internal prosthetic ankle joint Non-billable M97.3 Periprosthetic fracture around internal prosthetic shoulder joint Non-billable M97.4 Periprosthetic fracture around internal prosthetic elbow joint Non-billable M97.8 Periprosthetic fracture around other internal prosthetic joint Non-billable M97.9 Periprosthetic fracture around unspecified internal prosthetic joint Non-billable M97.01 Periprosthetic fracture around internal prosthetic right hip joint Non-billable

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