{"code":"M97.8","type":"category","title":"Periprosthetic fracture around other internal prosthetic joint","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[", if known, the specific type and cause of fracture, such as traumatic or pathological"],"excludes1":[],"excludes2":["fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-)","breakage (fracture) of prosthetic joint (T84.01-)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["M97.8XXA","M97.8XXD","M97.8XXS"],"inclusionTerms":["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"],"sibling_titles":{"code":"M97.8XXS","title":"Periprosthetic fracture around other internal prosthetic joint, sequela","isBillable":true},"useAdditionalCode":["code to identify the joint (Z96.6-)"],"clinicalDefinition":"Periprosthetic fracture around other internal prosthetic joint is a non-billable ICD-10-CM category code (M97.8). A more specific billable subcode must be selected for claims submission. Inclusion terms: 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.","officialDefinition":"Periprosthetic fracture around other internal prosthetic joint is a non-billable ICD-10-CM category code (M97.8). A more specific billable subcode must be selected for claims submission. Inclusion terms: 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. 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. Use additional code: code to identify the joint (Z96.6-). 7th character: The appropriate 7th character is to be added to each code from category M97.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category M97"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}