ICD-10-CM 2027 diagnosis code
M97.22XSPeriprosthetic fracture around internal prosthetic left ankle joint, sequela
M97.22XS is a valid, billable ICD-10-CM code for periprosthetic fracture around internal prosthetic left ankle joint, sequela. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Periprosth fx around internal prosth l ankle joint, sequela
Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About M97.22XS
M97.22XS is the ICD-10-CM diagnosis code for Periprosthetic fracture around internal prosthetic left ankle joint, sequela. It belongs to category M97 (Periprosthetic fracture around internal prosthetic joint), block M97 (Periprosthetic fracture around internal prosthetic joint) and chapter 13 (diseases of the musculoskeletal system and connective tissue). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
The 7th character "S" means sequela: use it for complications or conditions that arise as a direct result of the original condition.
Code first: , if known, the specific type and cause of fracture, such as traumatic or pathological.
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 922 (Other Injury, Poisoning and Toxic Effect Diagnoses with MCC, relative weight 1.6238) and DRG 923 (Other Injury, Poisoning and Toxic Effect Diagnoses without MCC, relative weight 0.9973), in MDC 21 (Injuries, Poisonings and Toxic Effects of Drugs), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.
It was added in FY2017, effective October 1, 2016.
Before ICD-10, this condition was coded in ICD-9-CM as 909.3 (late effect of complications of surgical and medical care).
7th character
Ssequela
CC/MCC status for this injury by encounter: CC for A; Neither CC nor MCC for D, S.
Other encounter types for M97.22:
Notes that apply from higher levels
Instructions written at a parent level also apply to M97.22XS.
Broader instructions also apply from Chapter 13: Diseases of the musculoskeletal system and connective tissue.
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs
ICD-9-CM equivalent
Converter →- 909.3Late effect of complications of surgical and medical careapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2017 (effective 10/1/2016): Added
- No changes since FY2017.
Common questions about M97.22XS
Is M97.22XS billable?
- Yes. M97.22XS is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "S" at the end of M97.22XS mean?
- It is the 7th character for sequela. Per the official guidelines, use it for complications or conditions that arise as a direct result of the original condition.
Can M97.22XS be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict M97.22XS as a principal diagnosis.
Is M97.22XS a CC or MCC?
- No. M97.22XS is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does M97.22XS group to?
- M97.22XS is used in the MS-DRG v44.0 logic for MS-DRG 922 (Other Injury, Poisoning and Toxic Effect Diagnoses with MCC) and MS-DRG 923 (Other Injury, Poisoning and Toxic Effect Diagnoses without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for M97.22XS?
- The CMS General Equivalence Mappings map M97.22XS to ICD-9-CM 909.3.