ICD-10/M97.41

M97.41 ICD 2026 Code: Periprosthetic fracture around internal prosthetic right elbow joint

M97.41 is the authoritative medical code for Periprosthetic fracture around internal prosthetic right elbow joint. This classification is used in medical billing and clinical recording to specify the clinical criteria for periprosthetic fracture around internal prosthetic right elbow joint (ICD-10-CM M97.41), ensuring healthcare documentation aligns with 2026 federal coding standards.

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Periprosthetic fracture around internal prosthetic right elbow joint is a non-billable ICD-10-CM category code M97.41. A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate M96.6-; breakage fracture of prosthetic joint T84.01-. Code first: , if known, the specific type and cause of fracture, such as traumatic or pathological. 7th character: The appropriate 7th character is to be added to each code from category M97.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for M97.41 in the official ICD-10-CM tabular list.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate M96.6-
  • breakage fracture of prosthetic joint T84.01-

Code First

Underlying conditions that must be sequenced before this code.

  • , if known, the specific type and cause of fracture, such as traumatic or pathological

Frequently Asked Questions (FAQ) & Clinical Guidance

Can M97.41 be billed directly?

No. M97.41 (Periprosthetic fracture around internal prosthetic right elbow joint) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does M97.41 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category M97.

Can M97.41 be reported alongside related conditions?

Per official ICD-10-CM Excludes2 instructions, M97.41 and the following are not considered part of each other and may both be reported when both conditions are present: fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-); breakage (fracture) of prosthetic joint (T84.01-).

Does M97.41 need to be sequenced after another code?

Yes. Code first: , if known, the specific type and cause of fracture, such as traumatic or pathological.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to M97.41 in its code family, with their registry titles.

  • M97.41XA — Periprosthetic fracture around internal prosthetic right elbow joint, initial encounter
  • M97.41XD — Periprosthetic fracture around internal prosthetic right elbow joint, subsequent encounter
  • M97.41XS — Periprosthetic fracture around internal prosthetic right elbow joint, sequela