M97.0 vs S72.24XM

M97.0 (Periprosthetic fracture around internal prosthetic hip joint) compared with S72.24XM (Nondisplaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type I or II with nonunion), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2). MedCoder-derived

Relationship

Informational

Excludes2 relationship

S72.24XM

Nondisplaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type I or II 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. S72.24XM 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 joint	S72.24XMNondisplaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type I or II with nonunion
Billing status	Non-billable header Report instead: M97.01XA, M97.01XD, M97.01XS, M97.02XA, M97.02XD	Billable
Classification	M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
Definition	Periprosthetic fracture around internal prosthetic hip joint is a non-billable ICD-10-CM category code (M97.0).	Nondisplaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type I or II with nonunion is a billable ICD-10-CM diagnosis code (S72.24XM).
7th character	The appropriate 7th character is to be added to each code from category M97	The 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	—

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