M97.41 (Periprosthetic fracture around internal prosthetic right elbow joint) compared with M97.42 (Periprosthetic fracture around internal prosthetic left elbow joint), from the official CMS tabular data. M97.41 and M97.42 code the same condition on opposite sides.
Same condition; these differ only in which side is documented.
These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.
Source: ICD-10-CM tabular list (laterality variant derived from the code title)
Same condition, opposite side. M97.41 and M97.42 name the same condition on opposite sides of the body.
Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.
| M97.41Periprosthetic fracture around internal prosthetic right elbow joint | M97.42Periprosthetic fracture around internal prosthetic left elbow joint | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) |
| Definition | Periprosthetic fracture around internal prosthetic right elbow joint is a non-billable ICD-10-CM category code (M97.41). | Periprosthetic fracture around internal prosthetic left elbow joint is a non-billable ICD-10-CM category code (M97.42). |
| 7th character | The appropriate 7th character is to be added to each code from category M97 | The appropriate 7th character is to be added to each code from category M97 |
| Code first | , if known, the specific type and cause of fracture, such as traumatic or pathological | , if known, the specific type and cause of fracture, such as traumatic or pathological |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources