M97.41XS (Periprosthetic fracture around internal prosthetic right elbow joint, sequela) compared with M97.42XS (Periprosthetic fracture around internal prosthetic left elbow joint, sequela), from the official CMS tabular data. M97.41XS and M97.42XS code the same condition on opposite sides. MedCoder-derived
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. M97.41XS and M97.42XS 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.
| M97.41XSPeriprosthetic fracture around internal prosthetic right elbow joint, sequela | M97.42XSPeriprosthetic fracture around internal prosthetic left elbow joint, sequela | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | M00-M99 — Diseases of the musculoskeletal system and connective tissue | M00-M99 — Diseases of the musculoskeletal system and connective tissue |
| Definition | Periprosthetic fracture around internal prosthetic right elbow joint, sequela is a billable ICD-10-CM diagnosis code (M97.41S). | Periprosthetic fracture around internal prosthetic left elbow joint, sequela is a billable ICD-10-CM diagnosis code (M97.42S). |
| 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