CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

M97.01XA Quick jump to specific ICD-10 (CM) Code: M97.01XS


See Category: Diseases of the musculoskeletal system and connective tissue

ICD-10 (CM) Code and Descriptor

M97.01XD Periprosthetic fracture around internal prosthetic right hip joint, subsequent encounter

M9701XD utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 8
ICD10
Position 9
ICD10
Position 10
51.74% 21.35% 11.68% 5.42% 2.84% 1.84% 1.00% 0.64% 0.56% 0.61%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for M97.01XD*:

CPT
Description Number of Claims Sum Performed
97530
THERAPEUTIC ACTIVITIES 5,121 8,371
97110
THERAPEUTIC EXERCISES 5,093 8,280
97116
GAIT TRAINING THERAPY 2,208 2,799
97535
SELF CARE MNGMENT TRAINING 1,406 2,760
97112
NEUROMUSCULAR REEDUCATION 1,324 1,700
92526
ORAL FUNCTION THERAPY 473 473
G0463
HOSPITAL OUTPT CLINIC VISIT 339 340
92507
TX SP LANG VOICE COMM INDIV 305 305
97542
WHEELCHAIR MNGMENT TRAINING 299 384
73502
X-RAY EXAM HIP UNI 2-3 VIEWS 251 251
73552
X-RAY EXAM OF FEMUR 2/> 231 236
97140
MANUAL THERAPY 1/> REGIONS 213 228
97162
PT EVAL MOD COMPLEX 30 MIN 148 148
97150
GROUP THERAPEUTIC PROCEDURES 91 91
97166
OT EVAL MOD COMPLEX 45 MIN 89 89
Q3014
TELEHEALTH FACILITY FEE 77 80
36415
COLL VENOUS BLD VENIPUNCTURE 75 75
97161
PT EVAL LOW COMPLEX 20 MIN 66 66
85025
COMPLETE CBC W/AUTO DIFF WBC 61 61
97165
OT EVAL LOW COMPLEX 30 MIN 50 50

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



M97.01XD related to the following DRG Codes:

559-561






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.