ICD-10-CM category
M97: Periprosthetic fracture around internal prosthetic joint
Codes under M97 (Periprosthetic fracture around internal prosthetic joint). A ✓ marks a billable (fully specified) code; category codes without a ✓ are not billable on their own.
| Code | Description | Billable |
|---|---|---|
| M97.0 | Periprosthetic fracture around internal prosthetic hip joint | — |
| M97.0 | Periprosthetic fracture around internal prosthetic hip joint | — |
| M97.01 | Periprosthetic fracture around internal prosthetic right hip joint | — |
| M97.01 | Periprosthetic fracture around internal prosthetic right hip joint | — |
| M97.1 | Periprosthetic fracture around internal prosthetic knee joint | — |
| M97.1 | Periprosthetic fracture around internal prosthetic knee joint | — |
| M97.01XA | Periprosthetic fracture around internal prosthetic right hip joint, initial encounter | ✓ |
| M97.01XA | Periprosthetic fracture around internal prosthetic right hip joint, initial encounter | ✓ |
| M97.01XD | Periprosthetic fracture around internal prosthetic right hip joint, subsequent encounter | ✓ |
| M97.01XD | Periprosthetic fracture around internal prosthetic right hip joint, subsequent encounter | ✓ |
| M97.01XS | Periprosthetic fracture around internal prosthetic right hip joint, sequela | ✓ |
| M97.01XS | Periprosthetic fracture around internal prosthetic right hip joint, sequela | ✓ |
| M97.02 | Periprosthetic fracture around internal prosthetic left hip joint | — |
| M97.02 | Periprosthetic fracture around internal prosthetic left hip joint | — |
| M97.2 | Periprosthetic fracture around internal prosthetic ankle joint | — |
| M97.2 | Periprosthetic fracture around internal prosthetic ankle joint | — |
| M97.02XA | Periprosthetic fracture around internal prosthetic left hip joint, initial encounter | ✓ |
| M97.02XA | Periprosthetic fracture around internal prosthetic left hip joint, initial encounter | ✓ |
| M97.02XD | Periprosthetic fracture around internal prosthetic left hip joint, subsequent encounter | ✓ |
| M97.02XD | Periprosthetic fracture around internal prosthetic left hip joint, subsequent encounter | ✓ |
| M97.02XS | Periprosthetic fracture around internal prosthetic left hip joint, sequela | ✓ |
| M97.02XS | Periprosthetic fracture around internal prosthetic left hip joint, sequela | ✓ |
| M97.3 | Periprosthetic fracture around internal prosthetic shoulder joint | — |
| M97.3 | Periprosthetic fracture around internal prosthetic shoulder joint | — |
| M97.4 | Periprosthetic fracture around internal prosthetic elbow joint | — |
| M97.4 | Periprosthetic fracture around internal prosthetic elbow joint | — |
| M97.8 | Periprosthetic fracture around other internal prosthetic joint | — |
| M97.8 | Periprosthetic fracture around other internal prosthetic joint | — |
| M97.8XXA | Periprosthetic fracture around other internal prosthetic joint, initial encounter | ✓ |
| M97.8XXA | Periprosthetic fracture around other internal prosthetic joint, initial encounter | ✓ |
| M97.8XXD | Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | ✓ |
| M97.8XXD | Periprosthetic fracture around other internal prosthetic joint, subsequent encounter | ✓ |
| M97.8XXS | Periprosthetic fracture around other internal prosthetic joint, sequela | ✓ |
| M97.8XXS | Periprosthetic fracture around other internal prosthetic joint, sequela | ✓ |
| M97.9 | Periprosthetic fracture around unspecified internal prosthetic joint | — |
| M97.9 | Periprosthetic fracture around unspecified internal prosthetic joint | — |
| M97.9XXA | Periprosthetic fracture around unspecified internal prosthetic joint, initial encounter | ✓ |
| M97.9XXA | Periprosthetic fracture around unspecified internal prosthetic joint, initial encounter | ✓ |
| M97.9XXD | Periprosthetic fracture around unspecified internal prosthetic joint, subsequent encounter | ✓ |
| M97.9XXD | Periprosthetic fracture around unspecified internal prosthetic joint, subsequent encounter | ✓ |
| M97.9XXS | Periprosthetic fracture around unspecified internal prosthetic joint, sequela | ✓ |
| M97.9XXS | Periprosthetic fracture around unspecified internal prosthetic joint, sequela | ✓ |
| M97.11 | Periprosthetic fracture around internal prosthetic right knee joint | — |
| M97.11 | Periprosthetic fracture around internal prosthetic right knee joint | — |
| M97.11XA | Periprosthetic fracture around internal prosthetic right knee joint, initial encounter | ✓ |
| M97.11XA | Periprosthetic fracture around internal prosthetic right knee joint, initial encounter | ✓ |
| M97.11XD | Periprosthetic fracture around internal prosthetic right knee joint, subsequent encounter | ✓ |
| M97.11XD | Periprosthetic fracture around internal prosthetic right knee joint, subsequent encounter | ✓ |
| M97.11XS | Periprosthetic fracture around internal prosthetic right knee joint, sequela | ✓ |
| M97.11XS | Periprosthetic fracture around internal prosthetic right knee joint, sequela | ✓ |
| M97.12 | Periprosthetic fracture around internal prosthetic left knee joint | — |
| M97.12 | Periprosthetic fracture around internal prosthetic left knee joint | — |
| M97.12XA | Periprosthetic fracture around internal prosthetic left knee joint, initial encounter | ✓ |
| M97.12XA | Periprosthetic fracture around internal prosthetic left knee joint, initial encounter | ✓ |
| M97.12XD | Periprosthetic fracture around internal prosthetic left knee joint, subsequent encounter | ✓ |
| M97.12XD | Periprosthetic fracture around internal prosthetic left knee joint, subsequent encounter | ✓ |
| M97.12XS | Periprosthetic fracture around internal prosthetic left knee joint, sequela | ✓ |
| M97.12XS | Periprosthetic fracture around internal prosthetic left knee joint, sequela | ✓ |
| M97.21 | Periprosthetic fracture around internal prosthetic right ankle joint | — |
| M97.21 | Periprosthetic fracture around internal prosthetic right ankle joint | — |
| M97.21XA | Periprosthetic fracture around internal prosthetic right ankle joint, initial encounter | ✓ |
| M97.21XA | Periprosthetic fracture around internal prosthetic right ankle joint, initial encounter | ✓ |
| M97.21XD | Periprosthetic fracture around internal prosthetic right ankle joint, subsequent encounter | ✓ |
| M97.21XD | Periprosthetic fracture around internal prosthetic right ankle joint, subsequent encounter | ✓ |
| M97.21XS | Periprosthetic fracture around internal prosthetic right ankle joint, sequela | ✓ |
| M97.21XS | Periprosthetic fracture around internal prosthetic right ankle joint, sequela | ✓ |
| M97.22 | Periprosthetic fracture around internal prosthetic left ankle joint | — |
| M97.22 | Periprosthetic fracture around internal prosthetic left ankle joint | — |
| M97.22XA | Periprosthetic fracture around internal prosthetic left ankle joint, initial encounter | ✓ |
| M97.22XA | Periprosthetic fracture around internal prosthetic left ankle joint, initial encounter | ✓ |
| M97.22XD | Periprosthetic fracture around internal prosthetic left ankle joint, subsequent encounter | ✓ |
| M97.22XD | Periprosthetic fracture around internal prosthetic left ankle joint, subsequent encounter | ✓ |
| M97.22XS | Periprosthetic fracture around internal prosthetic left ankle joint, sequela | ✓ |
| M97.22XS | Periprosthetic fracture around internal prosthetic left ankle joint, sequela | ✓ |
| M97.31 | Periprosthetic fracture around internal prosthetic right shoulder joint | — |
| M97.31 | Periprosthetic fracture around internal prosthetic right shoulder joint | — |
| M97.31XA | Periprosthetic fracture around internal prosthetic right shoulder joint, initial encounter | ✓ |
| M97.31XA | Periprosthetic fracture around internal prosthetic right shoulder joint, initial encounter | ✓ |
| M97.31XD | Periprosthetic fracture around internal prosthetic right shoulder joint, subsequent encounter | ✓ |
| M97.31XD | Periprosthetic fracture around internal prosthetic right shoulder joint, subsequent encounter | ✓ |
| M97.31XS | Periprosthetic fracture around internal prosthetic right shoulder joint, sequela | ✓ |
| M97.31XS | Periprosthetic fracture around internal prosthetic right shoulder joint, sequela | ✓ |
| M97.32 | Periprosthetic fracture around internal prosthetic left shoulder joint | — |
| M97.32 | Periprosthetic fracture around internal prosthetic left shoulder joint | — |
| M97.32XA | Periprosthetic fracture around internal prosthetic left shoulder joint, initial encounter | ✓ |
| M97.32XA | Periprosthetic fracture around internal prosthetic left shoulder joint, initial encounter | ✓ |
| M97.32XD | Periprosthetic fracture around internal prosthetic left shoulder joint, subsequent encounter | ✓ |
| M97.32XD | Periprosthetic fracture around internal prosthetic left shoulder joint, subsequent encounter | ✓ |
| M97.32XS | Periprosthetic fracture around internal prosthetic left shoulder joint, sequela | ✓ |
| M97.32XS | Periprosthetic fracture around internal prosthetic left shoulder joint, sequela | ✓ |
| M97.41 | Periprosthetic fracture around internal prosthetic right elbow joint | — |
| M97.41 | Periprosthetic fracture around internal prosthetic right elbow joint | — |
| M97.41XA | Periprosthetic fracture around internal prosthetic right elbow joint, initial encounter | ✓ |
| M97.41XA | Periprosthetic fracture around internal prosthetic right elbow joint, initial encounter | ✓ |
| M97.41XD | Periprosthetic fracture around internal prosthetic right elbow joint, subsequent encounter | ✓ |
| M97.41XD | Periprosthetic fracture around internal prosthetic right elbow joint, subsequent encounter | ✓ |
| M97.41XS | Periprosthetic fracture around internal prosthetic right elbow joint, sequela | ✓ |
| M97.41XS | Periprosthetic fracture around internal prosthetic right elbow joint, sequela | ✓ |
| M97.42 | Periprosthetic fracture around internal prosthetic left elbow joint | — |
| M97.42 | Periprosthetic fracture around internal prosthetic left elbow joint | — |
| M97.42XA | Periprosthetic fracture around internal prosthetic left elbow joint, initial encounter | ✓ |
| M97.42XA | Periprosthetic fracture around internal prosthetic left elbow joint, initial encounter | ✓ |
| M97.42XD | Periprosthetic fracture around internal prosthetic left elbow joint, subsequent encounter | ✓ |
| M97.42XD | Periprosthetic fracture around internal prosthetic left elbow joint, subsequent encounter | ✓ |
| M97.42XS | Periprosthetic fracture around internal prosthetic left elbow joint, sequela | ✓ |
| M97.42XS | Periprosthetic fracture around internal prosthetic left elbow joint, sequela | ✓ |
Frequently asked questions
What is ICD-10-CM code M97?
M97 is an ICD-10-CM category covering Periprosthetic fracture around internal prosthetic joint. It contains 106 more specific diagnosis codes, 72 of which are billable.
Is M97 a billable code?
No — M97 is a category header and isn't billable on its own. Code to the highest level of specificity using one of its subcodes (for example M97.0 — Periprosthetic fracture around internal prosthetic hip joint). 72 of the 106 codes under M97 are billable.
What codes fall under M97?
M97 includes M97.0, M97.0, M97.01, M97.01, M97.1, plus 101 more. See the full list with descriptions and billable status above.
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Informational only, not coding or medical advice. Verify against the official ICD-10-CM (FY2026) and your payer's guidelines.
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