M97.8XXD — Periprosthetic fracture around other internal prosthetic joint, subsequent encounter
Is M97.8XXD billable?
Yes — M97.8XXD is billable for FY2027. M97.8XXD is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M97.8XXD may be submitted for encounters from October 1, 2026 through September 30, 2027.
M97.8XXD at a glance
| Code | M97.8XXD |
|---|---|
| Description | Periprosthetic fracture around other internal prosthetic joint, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in M97.8XXD?
In M97.8XXD, the 7th character D means subsequent encounter. The 7th character is required for M97.8XXD to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does M97.8XXD group to?
M97.8XXD 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
How is M97.8XXD listed in the Alphabetic Index?
The Alphabetic Index lists these routes under M97.8, the nearest indexed parent of M97.8XXD. Use them to find the family, then select the specific code.
- 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)
Use additional code
Report an additional code alongside M97.8XXD to fully describe the condition. M97.8XXD is sequenced first.
- code to identify the joint (Z96.6-)
Inclusion terms
Alternative wording in documentation that is classified to M97.8XXD.
- 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 M97.8XXD. M97.8XXD 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
Use additional code — inherited from M97.8
Report an additional code alongside M97.8XXD to fully describe the condition. M97.8XXD is sequenced first.
- code to identify the joint (Z96.6-)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M97.8XXD, but a patient may have both at the same time. When documentation supports it, M97.8XXD 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 M97.8XXD, but a patient may have both at the same time. When documentation supports it, M97.8XXD and the excluded code may both be reported.
How long has M97.8XXD existed?
M97.8XXD 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.