M96.632
BillableFracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
HCC Category Mapping
V24HCC 176 — Complications of Specified Implanted Device or Graft
0.529ESRDHCC 176 — Complications of Specified Implanted Device or Graft
0.000What This Code Means
A broken forearm bone (radius or ulna) on the left side that occurs as a complication after surgical implants, joint replacements, or bone plates were inserted.
Coding Tips
- •Use this code specifically for left-sided forearm fractures
- •Confirm laterality and bone involvement (radius, ulna, or both) from imaging documentation
Clinical Significance
This diagnosis represents a postoperative complication where radius or ulna fractures in the left arm following orthopedic implant insertion, requiring complex surgical management. The condition significantly impacts risk adjustment due to revision surgery needs and potential long-term functional impairment of the dominant or non-dominant arm.
Documentation Requirements
- ✓Clear documentation of prior orthopedic implant, prosthesis, or bone plate insertion
- ✓Confirmation of radius or ulna fracture occurring subsequent to implant procedure
- ✓Specific identification of left arm as the affected anatomical site
- ✓Temporal relationship between implant placement and fracture development
- ✓Current management approach for fracture treatment and implant assessment
- ✓Evaluation of implant stability and need for revision procedures
- ✓Clinical documentation excluding external traumatic causes
- ✓Provider statement confirming relationship to prior orthopedic procedure
Commonly Confused Codes
S52.92XA — Fracture of left forearm without implant complication relationshipM96.631 — Same complication but affecting right arm rather than leftT84.123A — Breakdown of internal fixation device of left forearmM96.639 — Same complication but unspecified arm rather than specifically leftZ96.63 — Presence of orthopedic joint implant without complications
Code Hierarchy
└M96Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified└M96.6Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate└M96.63Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate└M96.632Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm
└M96.632Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate, left arm