M97 – Periprosthetic fracture around internal prosthetic joint

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

Non-billable header

ICD-10-CM code M97

Code: M97 (claims format: M97)
Description: Periprosthetic fracture around internal prosthetic joint
Billable: No – use a more specific code below
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)

Billable codes under M97

M97 is a header code and cannot be used on claims. Choose the most specific code:

M97.0 – Periprosthetic fracture around internal prosthetic hip jointHeader (more codes below)
M97.1 – Periprosthetic fracture around internal prosthetic knee jointHeader (more codes below)
M97.2 – Periprosthetic fracture around internal prosthetic ankle jointHeader (more codes below)
M97.3 – Periprosthetic fracture around internal prosthetic shoulder jointHeader (more codes below)
M97.4 – Periprosthetic fracture around internal prosthetic elbow jointHeader (more codes below)
M97.8 – Periprosthetic fracture around other internal prosthetic jointHeader (more codes below)
M97.9 – Periprosthetic fracture around unspecified internal prosthetic jointHeader (more codes below)

7th character values

Codes in this category need a 7th character to describe the encounter or episode of care (use placeholder X for empty positions).

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

Notes for M97

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

Frequently asked questions

What is ICD-10 code M97?

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

Is M97 a billable code?

No. M97 is a header code with more specific child codes; report one of the billable codes listed above.

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.