Need some clarification on Peri- Prosthetic Fx’s. We are getting insurance push back on the M97. code. They want them recognized as a Traumatic Fx (S..).Does anyone have any information as why the M code was chosen over the Traumatic (S) code as per the ICD 10 Book? As we know these types of Fx’s can result from an injury. We are looking for explanations.

Thank you for your time.