M97.42

Periprosthetic fracture around internal prosthetic left elbow joint

FY2027Chapter 13: Diseases of the musculoskeletal system and connective tissue/M97 Periprosthetic fracture around internal prosthetic joint

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

M97.42 is a non-billable ICD-10-CM code header for periprosthetic fracture around internal prosthetic left elbow joint. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. A 7th character is required to complete the code. Its coding notes include a Code first instruction and 12 Excludes2 entries.

7th character

Category M97 requires a 7th character. M97.42 has only 5 characters, so a placeholder X fills the 6th position.

Assembled code M97.42XA Open code

Code first

If the underlying condition listed here is present and known, sequence it first.

Inherited from M97 Periprosthetic fracture around internal prosthetic joint
  • , if known, the specific type and cause of fracture, such as traumatic or pathological

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from M97 Periprosthetic fracture around internal prosthetic joint
  • fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-)
  • breakage (fracture) of prosthetic joint (T84.01-)
Also from chapter/block level (10 notes)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 13 Diseases of the musculoskeletal system and connective tissue
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

7th-character codes under M97.42 3