M96.62 — Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate
Is M96.62 billable?
No — M96.62 is a non-billable header code. M96.62 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 3 billable codes beneath M96.62.
Billable codes under this header
- M96.621Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm
- M96.622Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
- M96.629Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm
M96.62 at a glance
| Code | M96.62 |
|---|---|
| Description | Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M96.62 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M96.62. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › following insertionof orthopedic implant, joint prosthesis or bone plate › humerus (abduction) (adduction) (separation)
- Fracture, traumatic › humerus › following insertion of implant, prosthesis or plate (abduction) (adduction) (separation)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M96.62, but a patient may have both at the same time. When documentation supports it, M96.62 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 M96.62, but a patient may have both at the same time. When documentation supports it, M96.62 and the excluded code may both be reported.
Excludes2 — not included here — inherited from M96.6
The conditions below are not part of M96.62, but a patient may have both at the same time. When documentation supports it, M96.62 and the excluded code may both be reported.
- complication of internal orthopedic devices, implants or grafts (T84.-)
What codes fall under M96.62? (3)
- M96.621Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm
- M96.622Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
- M96.629Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified arm
How long has M96.62 existed?
M96.62 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 M96.6 family? (5)
- M96.63Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone platenot billable
- M96.65Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate
- M96.66Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone platenot billable
- M96.67Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone platenot billable
- M96.69Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate