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Home/Diagnosis/ICD-10 Coding for Periprosthetic Fracture

ICD-10 Coding for Periprosthetic Fracture

M97.02XA
S72.402A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for periprosthetic fracture includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Fracture around prosthetic joint
Prosthetic joint fracture
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Key Information: ICD-10 Coding for Periprosthetic Fracture

Essential facts and insights about ICD-10 Coding for Periprosthetic Fracture

Use ICD-10 code M97.02XA for periprosthetic fracture around internal prosthetic joint, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Periprosthetic fracture around internal prosthetic joint, initial encounter

Billable Code
M97.02XA
Billable

Diagnostic Criteria

  • • Fracture confirmed around prosthetic joint with stable prosthesis

Applicable To

  • • Fracture around hip prosthesis

Important Notes

  • • Ensure to document the type of fracture and prosthesis stability.

Unspecified fracture of lower end of left femur, initial encounter

Billable Code
S72.402A
Billable

Diagnostic Criteria

    Applicable To

    • • Traumatic fracture of femur

    Important Notes

    • • Ensure to specify laterality and encounter type.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    S72.402A

    Unspecified fracture of lower end of left femur, initial encounter

    Use alongside M97.02XA for traumatic fractures.

    Frequently Asked Questions

    What is the ICD-10 code for a periprosthetic fracture?

    The ICD-10 code for a periprosthetic fracture is M97.02XA, used for fractures around prosthetic joints with imaging confirmation.

    How do you code a traumatic periprosthetic fracture?

    For a traumatic periprosthetic fracture, use S72.XXX for the fracture type and M97.02XA for the periprosthetic location.

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