Periprosth fx around other internal prosth joint, sequela

This code describes a fracture occurring in the bone surrounding an internal prosthetic joint other than the hip or knee, representing a long-term complication or late effect of the initial injury or surgery. It signifies that the fracture is a sequela, meaning it is a residual effect after the acute phase of the original fracture or surgical event has passed.

Apply this code when documenting a periprosthetic fracture around a joint prosthesis such as a shoulder, elbow, wrist, or ankle, where the fracture is a chronic or late complication. Documentation should clearly indicate that the fracture is a sequela, often presenting months or years after the initial prosthetic implantation or acute fracture treatment.

• Ensure the documentation specifies "sequela" or indicates a chronic nature of the fracture, distinguishing it from an acute periprosthetic fracture.
• Confirm the fracture is around an "other" internal prosthetic joint; avoid using for hip (M97.0-) or knee (M97.1-) periprosthetic fractures.
• Always assign an additional code for the specific type and location of the fracture, if known and not inherent in the periprosthetic code.