M97.2 — Periprosthetic fracture around internal prosthetic ankle joint
Is M97.2 billable?
No — M97.2 is a non-billable header code. M97.2 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 6 billable codes beneath M97.2.
Billable codes under this header
- M97.21XAPeriprosthetic fracture around internal prosthetic right ankle joint, initial encounter
- M97.21XDPeriprosthetic fracture around internal prosthetic right ankle joint, subsequent encounter
- M97.21XSPeriprosthetic fracture around internal prosthetic right ankle joint, sequela
- M97.22XAPeriprosthetic fracture around internal prosthetic left ankle joint, initial encounter
- M97.22XDPeriprosthetic fracture around internal prosthetic left ankle joint, subsequent encounter
- M97.22XSPeriprosthetic fracture around internal prosthetic left ankle joint, sequela
M97.2 at a glance
| Code | M97.2 |
|---|---|
| Description | Periprosthetic fracture around internal prosthetic ankle joint |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M97.2 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M97.2. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, pathological › periprosthetic › ankle (pathologic)
- Fracture, traumatic › periprosthetic, around internal prosthetic joint › ankle (abduction) (adduction) (separation)
Code first — inherited from M97
The underlying condition below must be sequenced before M97.2. M97.2 describes a manifestation and cannot be the principal or first-listed diagnosis.
- , if known, the specific type and cause of fracture, such as traumatic or pathological
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M97.2, but a patient may have both at the same time. When documentation supports it, M97.2 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 M97
The conditions below are not part of M97.2, but a patient may have both at the same time. When documentation supports it, M97.2 and the excluded code may both be reported.
What codes fall under M97.2? (2)
How long has M97.2 existed?
M97.2 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
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 M97 family? (6)
- M97.0Periprosthetic fracture around internal prosthetic hip jointnot billable
- M97.1Periprosthetic fracture around internal prosthetic knee jointnot billable
- M97.3Periprosthetic fracture around internal prosthetic shoulder jointnot billable
- M97.4Periprosthetic fracture around internal prosthetic elbow jointnot billable
- M97.8Periprosthetic fracture around other internal prosthetic jointnot billable
- M97.9Periprosthetic fracture around unspecified internal prosthetic jointnot billable