M97

Non-Billable

ChapterM00–M99

Rankcategory

Official Description

Periprosthetic fracture around internal prosthetic joint

Metadata & Insights

•2026 ICD-10-CM Edition - Effective October 1, 2025.
•Non-billable category (requires more specific sub-code).
•Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99).

CH13 Parent Instructions

Excludes2(Not included here)

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)

Instructional Notes

Excludes2(Not included here)

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

Clinical Hierarchy

CH13Diseases of the musculoskeletal system and connective tissue (M00-M99)

M97Periprosthetic fracture around internal prosthetic joint

M97.0Periprosthetic fracture around internal prosthetic hip joint

M97.1Periprosthetic fracture around internal prosthetic knee joint

M97.2Periprosthetic fracture around internal prosthetic ankle joint

M97.3Periprosthetic fracture around internal prosthetic shoulder joint

M97.4Periprosthetic fracture around internal prosthetic elbow joint

M97.8Periprosthetic fracture around other internal prosthetic joint

M97.9Periprosthetic fracture around unspecified internal prosthetic joint

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M97:

chapterCH13

Diseases of the musculoskeletal system and connective tissue (M00-M99)

View context instructions

Alphabetic Index Mentions

These are Diagnosis Index lookup paths that route to M97. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

21 raw paths

Fracture, pathological (pathologic)11 unique routes

periprosthetic→M97(11 variants)

ankle→M97

elbow→M97

finger→M97

hip→M97

knee→M97

other specified joint→M97

shoulder→M97

spinal joint→M97

toe joint→M97