M97.1

Non-Billable
ChapterM00–M99
Ranksubcategory
Official Description

Periprosthetic fracture around internal prosthetic knee 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).
General instructions are available for the parent sections:

Clinical Hierarchy

CH13Diseases of the musculoskeletal system and connective tissue (M00-M99)
M97Periprosthetic fracture around internal prosthetic joint
M97.1Periprosthetic fracture around internal prosthetic knee joint
M97.11Periprosthetic fracture around internal prosthetic right knee joint
M97.12Periprosthetic fracture around internal prosthetic left knee joint

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M97.1:

categoryM97
Periprosthetic fracture around internal prosthetic joint
View context instructions
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 M97.1. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

1 raw paths

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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