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M96.6

⚠ Non-billable (Header)

Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate

Diseases of the musculoskeletal system and connective tissue (M00-M99)

⚠️ This is a category header code — not billable. Use a more specific child code below.

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Also Known As

Intraoperative fracture of bone during insertion of orthopedic implant, joint prosthesis, or bone plate

⚠️ Excludes2

direct

May be coded together if both conditions coexist

  • • complication of internal orthopedic devices, implants or grafts (T84.-)

⚠️ Excludes2

inherited from M96

Rules from parent category M96: Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified

  • • arthropathy following intestinal bypass (M02.0-)
  • • complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)
  • • disorders associated with osteoporosis (M80)
  • • periprosthetic fracture around internal prosthetic joint (M97.-)
  • • presence of functional implants and other devices (Z96-Z97)

Child Codes (6)

M96.62Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plateM96.63Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plateM96.65Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plateM96.66Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plateM96.67Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plateM96.69Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate

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Code Information

CodeM96.6
BillableNo — Header code
ParentM96
CategoryDiseases of the musculoskeletal system and connective tissue (M00-M99)
Excludes10 rule(s)
Excludes26 note(s)
Child codes6

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)