ICDcodes.org
FY2027

M97.8 — Periprosthetic fracture around other internal prosthetic joint

Not billable

Is M97.8 billable?

No — M97.8 is a non-billable header code. M97.8 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 M97.8.

M97.8 at a glance

CodeM97.8
DescriptionPeriprosthetic fracture around other internal prosthetic joint
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

How is M97.8 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to M97.8. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Fracture, pathological › periprosthetic › finger (pathologic)
  • Fracture, pathological › periprosthetic › other specified joint (pathologic)
  • Fracture, pathological › periprosthetic › spinal joint (pathologic)
  • Fracture, pathological › periprosthetic › toe joint (pathologic)
  • Fracture, pathological › periprosthetic › wrist joint (pathologic)
  • Fracture, traumatic › periprosthetic, around internal prosthetic joint › finger (abduction) (adduction) (separation)
  • Fracture, traumatic › periprosthetic, around internal prosthetic joint › specified joint NEC (abduction) (adduction) (separation)
  • Fracture, traumatic › periprosthetic, around internal prosthetic joint › spine (abduction) (adduction) (separation)
  • Fracture, traumatic › periprosthetic, around internal prosthetic joint › toe (abduction) (adduction) (separation)
  • Fracture, traumatic › periprosthetic, around internal prosthetic joint › wrist (abduction) (adduction) (separation)

Use additional code

Report an additional code alongside M97.8 to fully describe the condition. M97.8 is sequenced first.

  • code to identify the joint (Z96.6-)

Inclusion terms

Alternative wording in documentation that is classified to M97.8.

  • Periprosthetic fracture around internal prosthetic finger joint
  • Periprosthetic fracture around internal prosthetic spinal joint
  • Periprosthetic fracture around internal prosthetic toe joint
  • Periprosthetic fracture around internal prosthetic wrist joint

Code first — inherited from M97

The underlying condition below must be sequenced before M97.8. M97.8 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 M97.8, but a patient may have both at the same time. When documentation supports it, M97.8 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 M97.8, but a patient may have both at the same time. When documentation supports it, M97.8 and the excluded code may both be reported.

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

What codes fall under M97.8? (3)

How long has M97.8 existed?

M97.8 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)