M97.8XXA – Periprosthetic fracture around other internal prosthetic joint, initial encounter

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

Billable code

ICD-10-CM code M97.8XXA

Code: M97.8XXA (claims format: M978XXA)
Description: Periprosthetic fracture around other internal prosthetic joint, initial encounter
Short description: Periprosth fracture around other internal prosth joint, 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 › M97.8

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

M97.8 – Periprosthetic fracture around other internal prosthetic joint

Applicable to:

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

Use additional code:

code to identify the joint (Z96.6-)

Related codes in M97.8

Frequently asked questions

What is ICD-10 code M97.8XXA?

M97.8XXA is the ICD-10-CM code for periprosthetic fracture around other internal prosthetic joint, initial encounter, in the block M97 (Periprosthetic fracture around internal prosthetic joint (M97)).

Is M97.8XXA a billable code?

Yes. M97.8XXA is a billable/specific code that can be used to indicate a diagnosis for reimbursement purposes.

What category does M97.8XXA 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.