M97.8XXA
✓ BillablePeriprosthetic fracture around other internal prosthetic joint, initial encounter
Diseases of the musculoskeletal system and connective tissue (M00-M99)
⚠️ Excludes2
inheritedRules 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
inheritedClinical Description
ICD-10-CM code M97.8XXA represents periprosthetic fracture around other internal prosthetic joint, initial encounter. This code falls under the Diseases of the musculoskeletal system and connective tissue (M00-M99) classification. It is a billable/specific code valid for HIPAA-covered transactions as of October 1, 2025 (FY2026). This code can be used to indicate a diagnosis for reimbursement purposes on insurance claims.
This is a 8-character code at the 7th level of specificity. This is the most specific code available in this subcategory.
Frequently Asked Questions
What is ICD-10 code M97.8XXA?
ICD-10-CM code M97.8XXA is "Periprosthetic fracture around other internal prosthetic joint, initial encounter". It belongs to the category: Diseases of the musculoskeletal system and connective tissue (M00-M99).
Is M97.8XXA a billable ICD-10 code?
Yes, M97.8XXA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Can M97.8XXA be coded with other codes?
M97.8XXA has 2 Excludes2 note(s). These conditions can be coded together if both are documented in the patient record.
Related Codes in M97.8
Other codes in the same category that may be relevant for differential coding:
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Data Source
CMS ICD-10-CM 2026 Tabular List
Updated October 1, 2025 (FY2026)