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M97.12XDBillableSave

M97.12XD - Periprosthetic fracture around internal prosthetic left knee joint, subsequent encounter

ICD-10-CM Chapter 13: Diseases of the musculoskeletal system and connective tissue · M97 Periprosthetic fracture around internal prosthetic joint (M97) · Subcategory of M97.12 · FY2027

7th character D: subsequent encounter

Coding Guidance

7th character D: subsequent encounter.

Includes, Excludes and Coding Notes

Excludes 2 — Not Included HereFrom M97

Not part of this code; report both codes when the patient has both conditions.

  • fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-)
  • breakage (fracture) of prosthetic joint (T84.01-)
Code FirstFrom M97

Sequence the underlying condition before this code.

  • , if known, the specific type and cause of fracture, such as traumatic or pathological
Excludes 2 — Not Included HereFrom Chapter M00-M99

Not part of this code; report both codes when the patient has both conditions.

  • 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)
NotesFrom Chapter M00-M99

Instructional notes from the ICD-10-CM tabular list.

  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with M97.12XD.