M97.02XD ICD-10-CM Code: Periprosthetic fracture around internal prosthetic left hip joint, subsequent encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)
- MS-DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)
- MS-DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for M97.02XD in the official ICD-10-CM tabular list.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-)
- breakage (fracture) of prosthetic joint (T84.01-)
Code First
Underlying conditions that must be sequenced before this code.
- Code first, if known, the specific type and cause of fracture, such as traumatic or pathological
Frequently Asked Questions (FAQ) & Clinical Guidance
Does M97.02XD require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category M97.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to M97.02XD in its code family, with their registry titles.
- M97.01XA — Periprosthetic fracture around internal prosthetic right hip joint, initial encounter
- M97.01XD — Periprosthetic fracture around internal prosthetic right hip joint, subsequent encounter
- M97.01XS — Periprosthetic fracture around internal prosthetic right hip joint, sequela
- M97.02 — Periprosthetic fracture around internal prosthetic left hip joint
- M97.02XA — Periprosthetic fracture around internal prosthetic left hip joint, initial encounter
- M97.02XS — Periprosthetic fracture around internal prosthetic left hip joint, sequela
- M97.1 — Periprosthetic fracture around internal prosthetic knee joint
- M97.11 — Periprosthetic fracture around internal prosthetic right knee joint
- M97.11XA — Periprosthetic fracture around internal prosthetic right knee joint, initial encounter
- M97.11XD — Periprosthetic fracture around internal prosthetic right knee joint, subsequent encounter