M97

Non-billable

Periprosthetic fracture around internal prosthetic joint

M97 is the ICD-10-CM code for Periprosthetic fracture around internal prosthetic joint. It is a non-billable category code — use a more specific child code such as M97.0 for billing.

Status
Header (non-billable)
Chapter
M00-M99
Subcodes
7
Edition
FY2026

M00-M99 Diseases of the musculoskeletal system and connective tissue

What this means — in plain language

MedlinePlus · NIH

What is a fracture? A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture. What are the different types of fractures? There are different ways to describe fractures. For example, there are different types of fractures based on: Whether the bone is partially or completely broken.…

Read more about Fractures at MedlinePlus ↗

Source: U.S. National Library of Medicine (MedlinePlus). Informational only — not medical advice.

Excludes2 — not included here

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

Code first

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

Frequently asked questions

What is ICD-10 code M97?
M97 is the ICD-10-CM code for "Periprosthetic fracture around internal prosthetic joint". It falls under M00-M99 Diseases of the musculoskeletal system and connective tissue.
Is M97 a billable code?
No — M97 is a non-billable header code. Use a more specific child code (such as M97.0) for billing.
What are the subcodes of M97?
M97 has 7 more specific child codes, including M97.0, M97.1, M97.2.

Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.

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