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ICD-10-CM Code for Periprosthetic fracture around internal prosthetic knee joint M97.1

ICD-10 code M97.1 for Periprosthetic fracture around internal prosthetic knee joint is a medical classification as listed by WHO under the range - Diseases of the musculoskeletal system and connective tissue .

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Official Long Descriptor

Periprosthetic fracture around internal prosthetic knee joint

M97

Excludes2: 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

 
M97.1 Periprosthetic fracture around internal prosthetic knee joint
Child Code
Periprosthetic fracture around internal prosthetic right knee joint
Child Code
Periprosthetic fracture around internal prosthetic left knee joint

Additional/Related Information

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Get crucial instructions for accurate ICD-10-CM M97.1 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code.
This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code.

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Periprosthetic proximal femur fracture and/or ORIF
Good Afternoon, My physician and I are looking for some advice in regards how to best code this surgical procedure. A little background; our patient had a RT THA a week ago and was ambulating at hom... [ Read More ]
ORIF PERIPROSTHETIC FEMUR FRACTURE DURING GLOBAL PERIOD OF HEMIARTHROPLASTY
Need some coding advice on this surgical procedure ORIF Periprosthetic Femur Fracture Need to code this for the [I]Assistant Surgeon Charges by [Dr B][/I] Patient had a Hemiarthroplasty for Hip Fract... [ Read More ]
Denials for POS for specimen collected in physician office
We have been receiving Medicare denials for surgical pathology codes. The remark code is M97-Not paid to practitioner when provided to patient in this place of service. Payment included in the reimbur... [ Read More ]
Knee Revision 27487 & Corresponding Diagnosis Codes?
[TABLE] [TR] [TD]T84.012A[/TD] [TD]Broken internal right knee prosthesis, initial encounter[/TD] [/TR] [TR] [TD]T84.012D[/TD] [TD]Broken internal right knee prosthesis, subsequent encounter[/TD] [/TR]... [ Read More ]
Hip Revision following periprosthetic fx
[QUOTE="AReilly, post: 463322, member: 222570"] For L. Hip revision of the femoral stem look at CPT 27138-LT. Dx would be the complication of the prosthetic joint, for example loosing T84.03- and Z96.... [ Read More ]
Hip Revision following periprosthetic fx
[QUOTE="hpycoder, post: 463161, member: 9939"] So after coding Gen Surg for nearly 17 years, I have branched off to ORTHO which is relatively new to me at this point in time. Can anyone w/ortho knowle... [ Read More ]
Peri-Prosthetic Fractures
Thanks for clarifying. As for the T codes yes they are fo,r among other things, mechanical complications which could be the cause of a peri prosthetic fracture, in which case you use the T code and n... [ Read More ]
Peri-Prosthetic Fractures
[QUOTE="mitchellde, post: 449647, member: 30657"]OK , However in response you indicated to use an S code if the fracture were traumatic or pathologic which would not be correct. so if there was a tra... [ Read More ]
Peri-Prosthetic Fractures
[QUOTE="max21998@aol.com, post: 449636, member: 141851"]Thank you for the response. By coding the applicable type (traumatic or pathological) 1st, the M97 code 2nd, the book does not direct us to Cod... [ Read More ]
Peri-Prosthetic Fractures
I am questioning that as well. You would not use an S code if it were a pathologic fracture and if it were a new traumatic fracture you would not use the M97. perhaps the payer is wanting to know ho... [ Read More ]
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