M97.31

⚠ Non-billable (Header)

Periprosthetic fracture around internal prosthetic right shoulder joint

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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⚠️ Excludes2

inherited

Rules inherited from parent codes.

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

📋 Code Instructions

inherited
  • Code first: , if known, the specific type and cause of fracture, such as traumatic or pathological

Clinical Description

ICD-10-CM code M97.31 represents periprosthetic fracture around internal prosthetic right shoulder joint. This code falls under the Diseases of the musculoskeletal system and connective tissue (M00-M99) classification. It is a non-billable category header code. A more specific child code from the list below must be used for billing and reimbursement purposes.

This is a 6-character code at the 5th level of specificity. There are 3 more specific child codes under M97.31.

Frequently Asked Questions

What is ICD-10 code M97.31?

ICD-10-CM code M97.31 is "Periprosthetic fracture around internal prosthetic right shoulder joint". It belongs to the category: Diseases of the musculoskeletal system and connective tissue (M00-M99).

Is M97.31 a billable ICD-10 code?

No, M97.31 is a non-billable header code. A more specific child code must be used for billing.

Can M97.31 be coded with other codes?

M97.31 has 2 Excludes2 note(s). These conditions can be coded together if both are documented in the patient record.

Related Codes in M97.3

Other codes in the same category that may be relevant for differential coding:

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Code Information

CodeM97.31
BillableNo — Header code
ParentM97.3
CategoryDiseases of the musculoskeletal system and connective tissue (M00-M99)
Excludes10 rule(s)
Excludes22 note(s)
Child codes3

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)