ICDcodes.org
FY2027

M96.6 — Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate

Not billable

Is M96.6 billable?

No — M96.6 is a non-billable header code. M96.6 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 14 billable codes beneath M96.6.

Billable codes under this header

M96.6 at a glance

CodeM96.6
DescriptionFracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes2 — not included here

The conditions below are not part of M96.6, but a patient may have both at the same time. When documentation supports it, M96.6 and the excluded code may both be reported.

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

Inclusion terms

Alternative wording in documentation that is classified to M96.6.

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

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M96.6, but a patient may have both at the same time. When documentation supports it, M96.6 and the excluded code may both be reported.

  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Excludes2 — not included here — inherited from M96

The conditions below are not part of M96.6, but a patient may have both at the same time. When documentation supports it, M96.6 and the excluded code may both be reported.

  • 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)

What codes fall under M96.6? (6)

How long has M96.6 existed?

M96.6 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the M96 family? (8)