M96.621 — Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm
Is M96.621 billable?
Yes — M96.621 is billable for FY2027. M96.621 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M96.621 may be submitted for encounters from October 1, 2026 through September 30, 2027.
M96.621 at a glance
| Code | M96.621 |
|---|---|
| Description | Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right arm |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M96.621 group to?
M96.621 sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 559Aftercare, Musculoskeletal System and Connective Tissue with MCCmedical
- 560Aftercare, Musculoskeletal System and Connective Tissue with CCmedical
- 561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCCmedical
As a secondary diagnosis, M96.621 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is M96.621 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under M96.62, the nearest indexed parent of M96.621. Use them to find the family, then select the specific code.
- 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 M96.621, but a patient may have both at the same time. When documentation supports it, M96.621 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 M96.621, but a patient may have both at the same time. When documentation supports it, M96.621 and the excluded code may both be reported.
Excludes2 — not included here — inherited from M96.6
The conditions below are not part of M96.621, but a patient may have both at the same time. When documentation supports it, M96.621 and the excluded code may both be reported.
- complication of internal orthopedic devices, implants or grafts (T84.-)
How long has M96.621 existed?
M96.621 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.