M97.31XD vs M97.32XD

M97.31XD (Periprosthetic fracture around internal prosthetic right shoulder joint, subsequent encounter) compared with M97.32XD (Periprosthetic fracture around internal prosthetic left shoulder joint, subsequent encounter), from the official CMS tabular data. M97.31XD and M97.32XD code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M97.31XD

Right

Periprosthetic fracture around internal prosthetic right shoulder joint, subsequent encounter

↔

M97.32XD

Left

Periprosthetic fracture around internal prosthetic left shoulder joint, subsequent encounter

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. M97.31XD and M97.32XD name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

	M97.31XDPeriprosthetic fracture around internal prosthetic right shoulder joint, subsequent encounter	M97.32XDPeriprosthetic fracture around internal prosthetic left shoulder joint, subsequent encounter
Billing status	Billable	Billable
Classification	M00-M99 — Diseases of the musculoskeletal system and connective tissue	M00-M99 — Diseases of the musculoskeletal system and connective tissue
Definition	Periprosthetic fracture around internal prosthetic right shoulder joint, subsequent encounter is a billable ICD-10-CM diagnosis code (M97.31D).	Periprosthetic fracture around internal prosthetic left shoulder joint, subsequent encounter is a billable ICD-10-CM diagnosis code (M97.32D).
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 each code from category M97
Code first	, if known, the specific type and cause of fracture, such as traumatic or pathological	, 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