Index trail
Fracture of humerus following insertion of orthopedic implant
See Tabular List: M96.622
M96, Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
M96.6, Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate
M96.62, Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate
M96.622, Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
Selected code, source checked for the selected effective period
Not listed for this effective period.
Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
Open the shareable code page for M96.622→Not listed for this effective period.
No Excludes 1 note is listed in this source payload.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
Index trail
Fracture of humerus following insertion of orthopedic implant
See Tabular List: M96.622
M96, Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
M96.6, Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate
M96.62, Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate
M96.622, Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
Selected code, source checked for the selected effective period
Not listed for this effective period.
Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
Open the shareable code page for M96.622→Not listed for this effective period.
No Excludes 1 note is listed in this source payload.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
HCC Mapping
RAF Value
Model Period
Source
Audit Caution
HCC mapping, RAF, MEAT, source trail, and audit caution stay in view.
V24
HCC 176
Complications of Specified Implanted Device or Graft
RAF: 0.582
ESRD/PACE
HCC 176
Complications of Specified Implanted Device or Graft
RAF: 0.000
HHS-HCC
source required
HHS-HCC source required or member context needed for selected effective period
RAF: source required
MEAT checklist
Reviewed by the HCC Buddy Coding TeamMonitor, Evaluate, Assess, or Treat must be supported in the provider note.
HCC Buddy guidance, not official ICD-10-CM text.
Audit caution
Reviewed by the HCC Buddy Coding TeamClose codes need documentation support before selection. Do not assume relationships.
HCC Buddy guidance, not official ICD-10-CM text.
Reviewer sign-off
Reviewed by the HCC Buddy Coding TeamMEAT, documentation support, audit cautions, and close-code guidance are reviewed and approved for this effective period.
HCC Buddy enrichment is separate from official source text.
Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
CMS-HCC V24
HCC 176
RAF 0.582
ESRD/PACE
HCC 176
RAF 0.000
ACA/HHS
Source required
RAF source required
Code
M96.622
V28 HCC
Not mapped
RAF
source required
Add close codes to compare documentation differences.
