Non-Billable / Non-Specific Code
ICD-10-CM M97 is the diagnosis code for Periprosthetic fracture around internal prosthetic joint. This code falls under the section "Periprosthetic fracture around internal prosthetic joint" within Chapter 13 â Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions are not included in M97. If the patient has both, code each condition separately:
Understanding where M97 sits in the ICD-10-CM classification helps ensure proper coding:
No, M97 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
M97 is the ICD-10-CM diagnosis code for "Periprosthetic fracture around internal prosthetic joint". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
M97 is located in Section M97 â "Periprosthetic fracture around internal prosthetic joint" within Chapter 13 of the ICD-10-CM Tabular List.
M97 has 7 sub-code(s) that provide more specific detail: M97.0, M97.1, M97.2, M97.3, M97.4 and more.
Use M97 when the patients documented diagnosis matches "Periprosthetic fracture around internal prosthetic joint" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Periprosthetic fracture around internal prosthetic joint is M97.
No, M97 is non-billable. Use a more specific sub-code for primary diagnosis billing.
M97 is in Chapter 13 of the ICD-10-CM Tabular List.
Yes, M97 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.