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ICD-10-CM · FY 2026 APRIL UPDATE

M96.6

Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate

Diagnosis reference

Nonbillable category

This entry is a category or subcategory. Choose the appropriate billable descendant based on the clinical documentation.

Effective periodOctober 1, 2026–September 30, 2027
SourceCMS ICD-10-CM order file
ClassificationDiagnosis · clinical modification

Related entries

Up to 30 descendants in this category

CODEDESCRIPTIONTYPE
M96.62Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plateCategory
M96.621Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right armBillable
M96.622Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left armBillable
M96.629Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified armBillable
M96.63Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plateCategory
M96.631Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, right armBillable
M96.632Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, left armBillable
M96.639Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified armBillable
M96.65Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plateBillable
M96.66Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plateCategory
M96.661Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right legBillable
M96.662Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, left legBillable
M96.669Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified legBillable
M96.67Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plateCategory
M96.671Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, right legBillable
M96.672Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, left legBillable
M96.679Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified legBillable
M96.69Fracture of other bone following insertion of orthopedic implant, joint prosthesis, or bone plateBillable

Use the complete reference

This reference does not reproduce the full tabular hierarchy, inclusion notes, Excludes1/2 notes, sequencing instructions, or seventh-character rules. Review the official tables and coding guidelines.

Open official CMS files

ICD-10-CM codes describe diagnoses. They do not have an independent Medicare PFS reimbursement amount, and billability alone does not establish coverage.