ICD-10-CM M97: Periprosthetic fracture around internal prosthetic joint

ICD-10-CM Diagnosis Code (2025)

Official Description for M97

Periprosthetic fracture around internal prosthetic joint

Coding Notes & Guidelines for M97

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

Use Additional Code

code to identify the joint (Z96.6-)

Inclusion Terms
  • Periprosthetic fracture around internal prosthetic finger joint
  • Periprosthetic fracture around internal prosthetic spinal joint
  • Periprosthetic fracture around internal prosthetic toe joint
  • Periprosthetic fracture around internal prosthetic wrist joint
7th Character Guidance

The appropriate 7th character is to be added to each code from category M97

7th Character Definitions
  • A: initial encounter
  • D: subsequent encounter
  • S: sequela

Child Codes (More Specific Codes for M97):

M97.0 - Periprosthetic fracture around internal prosthetic hip joint M97.01 - Periprosthetic fracture around internal prosthetic right hip joint M97.02 - Periprosthetic fracture around internal prosthetic left hip joint M97.1 - Periprosthetic fracture around internal prosthetic knee joint M97.11 - Periprosthetic fracture around internal prosthetic right knee joint M97.12 - Periprosthetic fracture around internal prosthetic left knee joint M97.2 - Periprosthetic fracture around internal prosthetic ankle joint M97.21 - Periprosthetic fracture around internal prosthetic right ankle joint M97.22 - Periprosthetic fracture around internal prosthetic left ankle joint M97.3 - Periprosthetic fracture around internal prosthetic shoulder joint M97.31 - Periprosthetic fracture around internal prosthetic right shoulder joint M97.32 - Periprosthetic fracture around internal prosthetic left shoulder joint M97.4 - Periprosthetic fracture around internal prosthetic elbow joint M97.41 - Periprosthetic fracture around internal prosthetic right elbow joint M97.42 - Periprosthetic fracture around internal prosthetic left elbow joint M97.8 - Periprosthetic fracture around other internal prosthetic joint M97.9 - Periprosthetic fracture around unspecified internal prosthetic joint

About ICD-10-CM Code M97 (Periprosthetic fracture around internal prosthetic joint)

ICD-10-CM code M97 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM M97 became effective on October 1, 2024.

This page provides detailed information about M97 - Periprosthetic fracture around internal prosthetic joint. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Periprosthetic fracture around internal prosthetic joint.