M96.622 Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm

The ICD-10-CM code for Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm is M96.622 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

13: Diseases of the musculoskeletal system and connective tissue (M00-M99)

Section

M96: Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified (M96)

Category M96

48 codes (36 billable)

FY2026 Status

Stable since FY2024

U.S. Hospital Utilization

• An estimated 180 U.S. inpatient stays in 2023 included M96.622 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Osteoporosis without pathological fracture (M81)

Category M81, Osteoporosis without current pathological fracture, is for use for patients with osteoporosis who do not currently have a pathologic fracture due to the osteoporosis, even if they have had a fracture in the past. For patients with a history of osteoporosis fractures, status code Z87.310, Personal history of (healed) osteoporosis fracture, should follow the code from M81.

Osteoporosis with current pathological fracture (M80)

Category M80, Osteoporosis with current pathological fracture, is for patients who have a current pathologic fracture at the time of an encounter. The codes under M80 identify the site of the fracture. A code from category M80, not a traumatic fracture code, should be used for any patient with known osteoporosis who suffers a fracture, even if the patient had a minor fall or trauma, if that fall or trauma would not usually break a normal, healthy bone.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)

Cite This Page

Reference M96.622 with the canonical source and edition:

M96.622 — Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/M96.622

Canonical URL: https://icd10codingpro.com/codes/M96.622