M97.3
Header — not billablePeriprosthetic fracture around internal prosthetic shoulder joint
The ICD-10 code for periprosthetic fracture around internal prosthetic shoulder joint is M97.3.
M97.3 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 2 more specific codes below.
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.
Related codes in this category
- M97.0Periprosthetic fracture around internal prosthetic hip jointnon-billable header
- M97.1Periprosthetic fracture around internal prosthetic knee jointnon-billable header
- M97.2Periprosthetic fracture around internal prosthetic ankle jointnon-billable header
- M97.4Periprosthetic fracture around internal prosthetic elbow jointnon-billable header
- M97.8Periprosthetic fracture around other internal prosthetic joint
- M97.9Periprosthetic fracture around unspecified internal prosthetic joint
- M97.3Periprosthetic fracture around internal prosthetic shoulder jointnon-billable header