M96.62
Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate
Not billable — category only FY2026 2025-10-01 → 2026-09-30
Exclusions 16 never code together
M96code
Excludes2
- arthropathy following intestinal bypass (M02.0-)M02.0-
- complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)T84.-
- disorders associated with osteoporosis (M80)M80
- periprosthetic fracture around internal prosthetic joint (M97.-)M97.-
- presence of functional implants and other devices (Z96-Z97)Z96-Z97
M00-M99chapter
Excludes2
- arthropathic psoriasis (L40.5-)L40.5-
- certain conditions originating in the perinatal period (P04-P96)P04-P96
- certain infectious and parasitic diseases (A00-B99)A00-B99
- compartment syndrome (traumatic) (T79.A-)T79.A-
- complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
- endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
- injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
- neoplasms (C00-D49)C00-D49
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94
Excludes2 — not included here, but the patient may have both. Code both when documented.
Instructional notes 2
Index entries leading here 1
Alongside this code 5 same parent — M96.6
M96.63 Fx rad/ulna following insrt ortho implnt/prosth/bone plt category M96.65 Fx pelvis following insrt ortho implnt/prosth/bone plt M96.66 Fx femur following insrt ortho implnt/prosth/bone plt category M96.67 Fx tib/fib following insrt ortho implnt/prosth/bone plt category M96.69 Fx bone following insrt ortho implnt/prosth/bone plt
Subordinate codes 3
Additional references
AHA Coding Clinic® Licence required
Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.