Skip to main content

M97.0 vs S72.23XN

M97.0 (Periprosthetic fracture around internal prosthetic hip joint) compared with S72.23XN (Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Relationship

Informational

Excludes2 relationship

S72.23XN
Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
↔
M97.0
Periprosthetic fracture around internal prosthetic hip joint

Distinct conditions — both may be reported.

“periprosthetic fracture of prosthetic implant of hip (M97.0-)”

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source: CMS ICD-10-CM tabular instructional notes

Can these codes be reported together?

Yes, when both are documented. S72.23XN carries an Excludes2 note covering M97.0: “periprosthetic fracture of prosthetic implant of hip (M97.0-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

M97.0Periprosthetic fracture around internal prosthetic hip jointS72.23XNDisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
Billing statusNon-billable headerBillable
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionPeriprosthetic fracture around internal prosthetic hip joint is a non-billable ICD-10-CM category code (M97.0).Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion is a billable ICD-10-CM diagnosis code (S72.23N).
7th characterThe appropriate 7th character is to be added to each code from category M97The appropriate 7th character is to be added to all codes from category S72
Code first
, if known, the specific type and cause of fracture, such as traumatic or pathological
—
Edit this comparisonCheck a whole claim

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources