M96.69 – Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate

ICD-10-CM 2027 diagnosis code · Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified (M96)

Billable code

ICD-10-CM code M96.69

Code: M96.69 (claims format: M9669)
Description: Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate
Short description: Fx bone following insrt ortho implnt/prosth/bone plt
Billable: Yes – valid for HIPAA-covered transactions
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 13. Diseases of the musculoskeletal system and connective tissue (M00-M99)
Block: M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified (M96)
Parent codes: M96 › M96.6

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

M96 – Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified

Excludes2 (not included here):

arthropathy following intestinal bypass (M02.0-)
complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)
disorders associated with osteoporosis (M80)
periprosthetic fracture around internal prosthetic joint (M97.-)
presence of functional implants and other devices (Z96-Z97)

M96.6 – Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate

Applicable to:

Intraoperative fracture of bone during insertion of orthopedic implant, joint prosthesis, or bone plate

Excludes2 (not included here):

complication of internal orthopedic devices, implants or grafts (T84.-)

Index terms for M96.69

Entries in the ICD-10-CM alphabetic index that lead to this code:

Related codes in M96.6

Frequently asked questions

What is ICD-10 code M96.69?

M96.69 is the ICD-10-CM code for fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate, in the block M96 (Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified (M96)).

Is M96.69 a billable code?

Yes. M96.69 is a billable/specific code that can be used to indicate a diagnosis for reimbursement purposes.

What category does M96.69 belong to?

It belongs to category M96 – Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.