M96.6Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate

M96.6 is the ICD-10-CM diagnosis code for fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate. It belongs to category M96 (intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified), block M96 (intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified) and chapter 13 (diseases of the musculoskeletal system and connective tissue). It is a header code, so it can't be reported by itself; one of its 6 subcodes must be used instead.

Within M96 (intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified), M96.6 is specifically for fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate. Related codes cover Pseudarthrosis after fusion or arthrodesis (M96.0), postlaminectomy syndrome, not elsewhere classified (M96.1), Postradiation kyphosis (M96.2), postlaminectomy kyphosis (M96.3), postsurgical lordosis (M96.4), Postradiation scoliosis (M96.5), other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified (M96.8) and fracture of ribs, sternum and thorax associated with compression of the chest and cardiopulmonary resuscitation (M96.A).

To report this condition, pick the subcode that matches the documentation: M96.62 (plate), M96.63 (plate), M96.65 (plate), M96.66 (plate), M96.67 (plate) and M96.69 (plate).

The conditions in its Excludes2 note aren't part of M96.6, but may be coded alongside it if the patient has both: complication of internal orthopedic devices, implants or grafts (T84.-).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.