M97 ICD 10 Code is a non-billable and non-specific code and should not be used to indicate a diagnosis for reimbursement purposes. There are other codes below it with greater level of diagnosis detail. The 2023 edition of the American ICD-10-CM code became effective on October 1, 2022.
Type 2 excludes for M97 ICD 10 code
- fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-)
- breakage (fracture) of prosthetic joint (T84.01-)
Codes
- M97.0 Periprosthetic fracture around internal prosthetic hip joint
- M97.01 Periprosthetic fracture around internal prosthetic right hip joint
- M97.01XA Periprosthetic fracture around internal prosthetic right hip joint, initial encounter
- M97.01XD Periprosthetic fracture around internal prosthetic right hip joint, subsequent encounter
- M97.01XS Periprosthetic fracture around internal prosthetic right hip joint, sequela
- M97.02 Periprosthetic fracture around internal prosthetic left hip joint
- M97.02XA Periprosthetic fracture around internal prosthetic left hip joint, initial encounter
- M97.02XD Periprosthetic fracture around internal prosthetic left hip joint, subsequent encounter
- M97.02XS Periprosthetic fracture around internal prosthetic left hip joint, sequela
- M97.1 Periprosthetic fracture around internal prosthetic knee joint
- M97.11 Periprosthetic fracture around internal prosthetic right knee joint
- M97.11XA Periprosthetic fracture around internal prosthetic right knee joint, initial encounter
- M97.11XD Periprosthetic fracture around internal prosthetic right knee joint, subsequent encounter
- M97.11XS Periprosthetic fracture around internal prosthetic right knee joint, sequela
- M97.12 Periprosthetic fracture around internal prosthetic left knee joint
- M97.12XA Periprosthetic fracture around internal prosthetic left knee joint, initial encounter
- M97.12XD Periprosthetic fracture around internal prosthetic left knee joint, subsequent encounter
- M97.12XS Periprosthetic fracture around internal prosthetic left knee joint, sequela
- M97.2 Periprosthetic fracture around internal prosthetic ankle joint
- M97.21 Periprosthetic fracture around internal prosthetic right ankle joint
- M97.21XA Periprosthetic fracture around internal prosthetic right ankle joint, initial encounter
- M97.21XD Periprosthetic fracture around internal prosthetic right ankle joint, subsequent encounter
- M97.21XS Periprosthetic fracture around internal prosthetic right ankle joint, sequela
- M97.22 Periprosthetic fracture around internal prosthetic left ankle joint
- M97.22XA Periprosthetic fracture around internal prosthetic left ankle joint, initial encounter
- M97.22XD Periprosthetic fracture around internal prosthetic left ankle joint, subsequent encounter
- M97.22XS Periprosthetic fracture around internal prosthetic left ankle joint, sequela
- M97.3 Periprosthetic fracture around internal prosthetic shoulder joint
- M97.31 Periprosthetic fracture around internal prosthetic right shoulder joint
- M97.31XA Periprosthetic fracture around internal prosthetic right shoulder joint, initial encounter
- M97.31XD Periprosthetic fracture around internal prosthetic right shoulder joint, subsequent encounter
- M97.31XS Periprosthetic fracture around internal prosthetic right shoulder joint, sequela
- M97.32 Periprosthetic fracture around internal prosthetic left shoulder joint
- M97.32XA Periprosthetic fracture around internal prosthetic left shoulder joint, initial encounter
- M97.32XD Periprosthetic fracture around internal prosthetic left shoulder joint, subsequent encounter
- M97.32XS Periprosthetic fracture around internal prosthetic left shoulder joint, sequela
- M97.4 Periprosthetic fracture around internal prosthetic elbow joint
- M97.41 Periprosthetic fracture around internal prosthetic right elbow joint
- M97.41XA Periprosthetic fracture around internal prosthetic right elbow joint, initial encounter
- M97.41XD Periprosthetic fracture around internal prosthetic right elbow joint, subsequent encounter
- M97.41XS Periprosthetic fracture around internal prosthetic right elbow joint, sequela
- M97.42 Periprosthetic fracture around internal prosthetic left elbow joint
- M97.42XA Periprosthetic fracture around internal prosthetic left elbow joint, initial encounter
- M97.42XD Periprosthetic fracture around internal prosthetic left elbow joint, subsequent encounter
- M97.42XS Periprosthetic fracture around internal prosthetic left elbow joint, sequela
- M97.8 Periprosthetic fracture around other internal prosthetic joint
- M97.8XXA Periprosthetic fracture around other internal prosthetic joint, initial encounter
- M97.8XXD Periprosthetic fracture around other internal prosthetic joint, subsequent encounter
- M97.8XXS Periprosthetic fracture around other internal prosthetic joint, sequela
- M97.9 Periprosthetic fracture around unspecified internal prosthetic joint
- M97.9XXA Periprosthetic fracture around unspecified internal prosthetic joint, initial encounter
- M97.9XXD Periprosthetic fracture around unspecified internal prosthetic joint, subsequent encounter
- M97.9XXS Periprosthetic fracture around unspecified internal prosthetic joint, sequela
Possible back-references that may be applicable or related to M97 ICD10 Code:
- M00-M99 Diseases of the musculoskeletal system and connective tissue
- M97 Periprosthetic fracture around internal prosthetic joint
Present On Admission (POA Exempt)
M97 ICD 10 code is considered exempt from POA reporting
Clinical information about M97 ICD 10 code
What is a fracture?
A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.
What are the different types of fractures?
There are different ways to describe fractures. For example, there are different types of fractures based on:
- Whether the bone is partially or completely broken.
- Whether the bone breaks through the skin; if it does, it's called an open (or compound) fracture. If not, it's a closed fracture.
- The direction or shape of the break, for example if it's in a line across the bone or if it has some kind of pattern.
- The cause of the break. For example, a stress fracture is a small break in a bone that is often caused by overuse.
- Which bone is broken, for example facial fractures include nose and jaw fractures.
What causes fractures?
Fractures commonly happen because of car accidents, falls, or sports injuries. Overuse and repetitive motions can also cause fractures.
Low bone density and osteoporosis are conditions which cause weakening of your bones. Having one of these conditions makes you much more likely to break a bone.
What are the symptoms of a fracture?
The symptoms of a fracture can vary, depending on which bone you broke. But they may include:
- Intense pain
- Deformity, for example a limb that looks out of place
- Swelling, bruising, or tenderness around the injury
- Trouble moving the injured part
If you think that you may have broken a bone, get medical care right away.
How are fractures diagnosed?
To find out if you have a fracture, your health provider will do a physical exam and ask about your injury. They will also likely order an x-ray or other imaging test to see if your bone is broken.
What are the treatments for fractures?
The most common treatment for a fracture is for you to wear a cast or a splint. This will keep your bone from moving while it heals. How long you need to wear it will depend on the type of fracture and which bone is affected. But it's often for several weeks. Your provider will let you know when you can get it off.
In some cases, you may need surgery to put in plates, pins, or screws to keep the bone in place.
Can fractures be prevented?
There are steps you can take to lower your risk of fractures:
- Keeping your bones strong by:
- Getting enough calcium and vitamin D in your diet
- Getting regular physical activity, including weight bearing exercises such as walking, tennis, and dancing
- Getting treatment for low bone density or osteoporosis (if needed)
- Wearing protective equipment when you do sports
- Preventing falls by:
- Getting rid of any tripping hazards in your home
- Being careful when walking on wet or icy surfaces
- Choosing the right footwear