M96.6
Header — not billableFracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate
The ICD-10 code for fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate is M96.6.
M96.6 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 6 more specific codes below.
Clinical notes
Excludes2 (not included here)
An Excludes2 note means the excluded condition is not part of this one, but a patient can have both at the same time — in that case both codes may be reported together.
- complication of internal orthopedic devices, implants or grafts (T84.-)
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Intraoperative fracture of bone during insertion of orthopedic implant, joint prosthesis, or bone plate
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under M96.6
- M96.62Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone platenon-billable header
- M96.63Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone platenon-billable header
- M96.65Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate
- M96.66Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone platenon-billable header
- M96.67Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone platenon-billable header
- M96.69Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plate
Related codes in this category
- M96.0Pseudarthrosis after fusion or arthrodesis
- M96.1Postlaminectomy syndrome, not elsewhere classified
- M96.2Postradiation kyphosis
- M96.3Postlaminectomy kyphosis
- M96.4Postsurgical lordosis
- M96.5Postradiation scoliosis
- M96.8Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classifiednon-billable header
- M96.AFracture of ribs, sternum and thorax associated with compression of the chest and cardiopulmonary resuscitationnon-billable header
- M96.6Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone platenon-billable header