M96.65
Billable codeFracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate
The ICD-10 code for fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate is M96.65.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- 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
- M96.66Fracture 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
- M96.65Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 99649Approximate match
Associated MS-DRGs
M96.65 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.