M97.02

Periprosthetic fracture around internal prosthetic left hip joint

Header / non-billable

This code does not map to a risk-adjusting HCC in the loaded models.

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from M97Periprosthetic fracture around internal prosthetic joint
Excludes 2

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

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

Valid 7th characters and their meanings
CharacterMeaning
Ainitial encounter
Dsubsequent encounter
Ssequela
Inherited from chapter 13Diseases of the musculoskeletal system and connective tissue
Excludes 2

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)

Note

Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition (M00-M25) Arthropathies (M00-M25) Includes: Disorders affecting predominantly peripheral (limb) joints (M40-M54) Dorsopathies (M40-M54) (M60-M79) Soft tissue disorders (M60-M79) (M80-M94) Osteopathies and chondropathies (M80-M94)

Official Guidelines for M97.02

FY 2026 ›