M97.41XA is the authoritative medical code for Periprosthetic fracture around internal prosthetic right elbow joint, initial encounter. This classification is used in medical billing and clinical recording to specify the clinical criteria for periprosthetic fracture around internal prosthetic right elbow joint, initial encounter (ICD-10-CM M97.41XA), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Periprosthetic fracture around internal prosthetic right elbow joint, initial encounter is a billable ICD-10-CM diagnosis code M97.41A. 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 M97.41XA 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
Does M97.41XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category M97.
Can M97.41XA be reported alongside related conditions?
Per official ICD-10-CM Excludes2 instructions, M97.41XA 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 M97.41XA 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 M97.41XA in its code family, with their registry titles.
- M97 — Periprosthetic fracture around internal prosthetic joint
- M97.0 — Periprosthetic fracture around internal prosthetic hip joint
- M97.01 — Periprosthetic fracture around internal prosthetic right hip joint
- M97.01XA — Periprosthetic fracture around internal prosthetic right hip joint, initial encounter
- M97.01XD — Periprosthetic fracture around internal prosthetic right hip joint, subsequent encounter
- M97.01XS — Periprosthetic fracture around internal prosthetic right hip joint, sequela
- M97.02 — Periprosthetic fracture around internal prosthetic left hip joint
- M97.02XA — Periprosthetic fracture around internal prosthetic left hip joint, initial encounter
- M97.02XD — Periprosthetic fracture around internal prosthetic left hip joint, subsequent encounter
- M97.02XS — Periprosthetic fracture around internal prosthetic left hip joint, sequela
View all 40 codes in the M97 family