icd 10 code for right hip periprosthetic fracture

by Britney Trantow 4 min read

Long Description: Periprosthetic fracture around internal prosthetic right hip joint, initial encounter. Version 2019 of the ICD-10-CM diagnosis code M97.01XA. Valid for Submission. The code M97.01XA is valid for submission for HIPAA-covered transactions.

Periprosthetic fracture around internal prosthetic right hip joint, initial encounter. M97. 01XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M97.

Full Answer

What is the ICD 10 code for periprosth fracture around internal prosthetic hip?

 · 2022 ICD-10-CM Diagnosis Code M97.01 2022 ICD-10-CM Diagnosis Code M97.01 Periprosthetic fracture around internal prosthetic right hip joint 2017 - New Code 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code M97.01 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of …

What is the ICD 10 code for fracture of the left hip?

M97.0 Periprosthetic fracture around internal prosthetic hip joint. M97.01 Periprosthetic fracture around internal prosthetic right hip joint. M97.01XA …… initial encounter; M97.01XD …… subsequent encounter; M97.01XS …… sequela; M97.02 Periprosthetic fracture around internal prosthetic left hip joint. M97.02XA …… initial encounter

What is the ICD 10 code for UNSP fracture of right femur?

 · 2022 ICD-10-CM Diagnosis Code M97.01XS Periprosthetic fracture around internal prosthetic right hip joint, sequela 2017 - New Code 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt M97.01XS is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Is a periprosthetic fracture coded as a complication?

 · M97.01XA is a valid billable ICD-10 diagnosis code for Periprosthetic fracture around internal prosthetic right hip joint, initial encounter . It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022 .

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

ICD-10 code M97. 02XA for Periprosthetic fracture around internal prosthetic left hip joint, initial encounter is a medical classification as listed by WHO under the range - Diseases of the musculoskeletal system and connective tissue .

How do you code a periprosthetic fracture?

Periprosthetic fracture around internal prosthetic joint M97-fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate ( ICD-10-CM Diagnosis Code M96.6. ... breakage (fracture) of prosthetic joint ( ICD-10-CM Diagnosis Code T84.01.

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

In this case, report ICD-10-CM codes S72. 402A (Unspecified fracture of lower end of left femur, initial encounter for closed fracture) as the principal/first listed diagnosis followed by M97. 02XA (Periprosthetic fracture around internal prosthetic left hip joint, initial encounter) as a secondary diagnosis.

What is a periprosthetic fracture?

A periprosthetic hip fracture is a broken bone that occurs around the implants of a total hip replacement. It is a serious complication that most often requires surgery.

What is a periprosthetic distal femur fracture?

Abstract. Periprosthetic fractures of the distal femur most commonly present as fragility fractures associated with relatively minor trauma. These injuries are often complicated by osteopenia of the distal femur secondary to stress shielding or osteolysis.

What is the ICD 10 code for status post Orif?

ICD-10-CM Code for Encounter for other orthopedic aftercare Z47. 89.

What is the ICD-10 code for right hip pain?

ICD-10 | Pain in right hip (M25. 551)

Where is the distal femur?

The distal femur is the area of the leg just above the knee joint. Distal femur fractures most often occur either in older people whose bones are weak, or in younger people who have high energy injuries, such as from a car crash.

What is ICD-10 code for osteoporosis?

0 – Age-Related Osteoporosis without Current Pathological Fracture. ICD-Code M81. 0 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Age-Related Osteoporosis without Current Pathological Fracture.

Where is a periprosthetic fracture?

Periprosthetic fractures are fractures that occur in association with an orthopaedic implant, most often used for joint arthroplasty or fracture fixation. They are associated with significant morbidity and increased mortality in some cases.

Is a periprosthetic fracture a fragility fracture?

Periprosthetic fracture, defined as a post-operative fracture around or near a prosthesis, has become increasingly common. This was shown in a study published in BMJ in 2020.

Can you fracture a replacement hip?

A periprosthetic fracture is a broken bone that occurs around the components of a total hip replacement. Though rare, it is a serious complication of hip replacement surgery that should be treated as soon as possible.

What is the ICd 10 code for a periprosthetic fracture?

Periprosthetic fracture around internal prosthetic right hip joint 1 M00-M99#N#2021 ICD-10-CM Range M00-M99#N#Diseases of the musculoskeletal system and connective tissue#N#Note#N#Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition#N#Type 2 Excludes#N#arthropathic psoriasis ( L40.5-)#N#certain conditions originating in the perinatal period ( P04 - P96)#N#certain infectious and parasitic diseases ( A00-B99)#N#compartment syndrome (traumatic) ( T79.A-)#N#complications of pregnancy, childbirth and the puerperium ( O00-O9A)#N#congenital malformations, deformations, and chromosomal abnormalities ( Q00-Q99)#N#endocrine, nutritional and metabolic diseases ( E00 - E88)#N#injury, poisoning and certain other consequences of external causes ( S00-T88)#N#neoplasms ( C00-D49)#N#symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ( R00 - R94)#N#Diseases of the musculoskeletal system and connective tissue 2 M97#N#ICD-10-CM Diagnosis Code M97#N#Periprosthetic fracture around internal prosthetic joint#N#2017 - New Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Type 2 Excludes#N#fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate ( M96.6-)#N#breakage (fracture) of prosthetic joint ( T84.01-)#N#Periprosthetic fracture around internal prosthetic joint

When will the ICd 10-CM M97.01 be released?

The 2022 edition of ICD-10-CM M97.01 became effective on October 1, 2021.

Can you use M97.01 for reimbursement?

M97.01 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.

When will the ICD-10-CM S72.91XA be released?

The 2022 edition of ICD-10-CM S72.91XA became effective on October 1, 2021.

What is the secondary code for Chapter 20?

Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.

How many codes are required for periprosthetic fractures?

A minimum of two codes are required when reporting the periprosthetic fractures. One code for the periprosthetic fracture and another for the type of fracture, such as traumatic vs. pathological with the underlying condition.

What is periprosthetic fracture?

Periprosthetic fractures are fractures that occur around a prosthesis. They are not complications of the prosthesis but are caused by either trauma or disease (pathological). These fractures are not coded as a complication since they don’t actually involve the implant. ICD-10-CM has specific codes for periprosthetic fractures.

What is the ICd 10 code for a fracture of the lower end of the left femur?

This fracture is documented to not involve the actual joint prosthesis. In this case, report ICD-10-CM codes S72.402A (Unspecified fracture of lower end of left femur, initial encounter for closed fracture) as the principal/first listed diagnosis followed by M97.02XA (Periprosthetic fracture around internal prosthetic left hip joint, initial encounter) as a secondary diagnosis. (Also assign external cause codes)

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