M97.12XA – Periprosthetic fracture around internal prosthetic left knee joint, initial encounter

ICD-10-CM 2027 diagnosis code · Periprosthetic fracture around internal prosthetic joint (M97)

Billable code

ICD-10-CM code M97.12XA

Code: M97.12XA (claims format: M9712XA)
Description: Periprosthetic fracture around internal prosthetic left knee joint, initial encounter
Short description: Periprosth fracture around internal prosth l knee jt, init
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: M97 Periprosthetic fracture around internal prosthetic joint (M97)
Parent codes: M97 › M97.1 › M97.12

7th character values

Codes in this category need a 7th character to describe the encounter or episode of care.

Character	Meaning
`A`	initial encounter
`D`	subsequent encounter
`S`	sequela

Notes inherited from parent codes

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

M97 – Periprosthetic fracture around internal prosthetic joint

Excludes2 (not included here):

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

Code first:

, if known, the specific type and cause of fracture, such as traumatic or pathological

7th character note:

The appropriate 7th character is to be added to each code from category M97

Related codes in M97.12

Frequently asked questions

What is ICD-10 code M97.12XA?

M97.12XA is the ICD-10-CM code for periprosthetic fracture around internal prosthetic left knee joint, initial encounter, in the block M97 (Periprosthetic fracture around internal prosthetic joint (M97)).

Is M97.12XA a billable code?

Yes. M97.12XA is a billable/specific code that can be used to indicate a diagnosis for reimbursement purposes.

What category does M97.12XA belong to?

It belongs to category M97 – Periprosthetic fracture around internal prosthetic joint.

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.