FY2027 ICD-10-CM reference
M96.62: Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate
By the HCC Buddy Coding Team
The official ICD-10-CM descriptor is Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Nonbillable heading. Verified against the official FY2027 order file.
More specific FY2027 codes
- M96.621: Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, right armBillable code
- M96.622: Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, left armBillable code
- M96.629: Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate, unspecified armBillable code
FY2027 Tabular instructions
Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.
Instructional note
Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Source: M00-M99 (chapter, inherited).
Excludes2
arthropathic psoriasis (L40.5-)
Source: M00-M99 (chapter, inherited).
Excludes2
certain conditions originating in the perinatal period (P04-P96)
Source: M00-M99 (chapter, inherited).
Excludes2
certain infectious and parasitic diseases (A00-B99)
Source: M00-M99 (chapter, inherited).
Excludes2
compartment syndrome (traumatic) (T79.A-)
Source: M00-M99 (chapter, inherited).
Excludes2
complications of pregnancy, childbirth and the puerperium (O00-O9A)
Source: M00-M99 (chapter, inherited).
Excludes2
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
Source: M00-M99 (chapter, inherited).
Excludes2
endocrine, nutritional and metabolic diseases (E00-E88)
Source: M00-M99 (chapter, inherited).
Excludes2
injury, poisoning and certain other consequences of external causes (S00-T88)
Source: M00-M99 (chapter, inherited).
Excludes2
neoplasms (C00-D49)
Source: M00-M99 (chapter, inherited).
Excludes2
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: M00-M99 (chapter, inherited).
Excludes2
arthropathy following intestinal bypass (M02.0-)
Source: M96 (category, inherited).
Excludes2
complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)
Source: M96 (category, inherited).
Excludes2
disorders associated with osteoporosis (M80)
Source: M96 (category, inherited).
Excludes2
periprosthetic fracture around internal prosthetic joint (M97.-)
Source: M96 (category, inherited).
Excludes2
presence of functional implants and other devices (Z96-Z97)
Source: M96 (category, inherited).
Instructional note
Intraoperative fracture of bone during insertion of orthopedic implant, joint prosthesis, or bone plate
Source: M96.6 (self, inherited).
Excludes2
complication of internal orthopedic devices, implants or grafts (T84.-)
Source: M96.6 (self, inherited).
Compare the FY2027 additions, removals and billable-status changes
What does M96.62 mean in FY2027?
The official ICD-10-CM descriptor is Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Is M96.62 billable in FY2027?
The FY2027 order file marks M96.62 as a nonbillable heading. Select a complete billable child code.
Does M96.62 map to an HCC?
Risk-model mapping is not applicable to this nonbillable heading. Check a complete billable child code.
Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.
Review the FY2026 April edition