M97.42XA ICD-10-CM Code: Periprosthetic fracture around internal prosthetic left elbow joint, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)
- MS-DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)
- MS-DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for M97.42XA 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-) Compare M97.42XA vs M96.6 →
- breakage (fracture) of prosthetic joint (T84.01-) Compare M97.42XA vs T84.01 →
Code First
Underlying conditions that must be sequenced before this code.
- Code first, if known, the specific type and cause of fracture, such as traumatic or pathological
Change history
- FY2017 — 2016-10-01Added to the code setPeriprosthetic fracture around internal prosthetic left elbow joint, initial encounterFY2017 changes
Verify Before Coding
- Billable — reportable as written.
- CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of M97.42XA in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- M00-M99 — Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) (M00-M99) [Hierarchy]
- M97-M97 — Periprosthetic fracture around internal prosthetic joint [Hierarchy]
Referenced by Excludes1 notes
- T84.01 — Broken internal joint prosthesis [Excludes1](via M97.-): “periprosthetic joint implant fracture (M97.-)”
Referenced by Excludes2 notes
- M96 — Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified [Excludes2](via M97.-): “periprosthetic fracture around internal prosthetic joint (M97.-)”
Clinical classification (CCSR)
- INJ004 — Fracture of the upper limb, initial encounter [CCSR]
Potential MS-DRG
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”
- DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)”
- DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)”
- DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)”
Nearest codes (40)
- M97 — Periprosthetic fracture around internal prosthetic joint [Sibling]
- M97.11XD — Periprosthetic fracture around internal prosthetic right knee joint, subsequent encounter [Sibling]
- M97.11XS — Periprosthetic fracture around internal prosthetic right knee joint, sequela [Sibling]
- M97.12 — Periprosthetic fracture around internal prosthetic left knee joint [Sibling]
- M97.12XA — Periprosthetic fracture around internal prosthetic left knee joint, initial encounter [Sibling]
- M97.12XD — Periprosthetic fracture around internal prosthetic left knee joint, subsequent encounter [Sibling]
- M97.12XS — Periprosthetic fracture around internal prosthetic left knee joint, sequela [Sibling]
- M97.2 — Periprosthetic fracture around internal prosthetic ankle joint [Sibling]
- and 32 more
Change history
- FY2017 — Added to the code set [Change history]
Referenced by Other Codes
Clinical classification (AHRQ CCSR):INJ004 — Fracture of the upper limb, initial encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 191 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 3 MS-DRGs: DRG 559 (MDC 08), DRG 560 (MDC 08), DRG 561 (MDC 08).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Official ICD-10-CM tabular notes on other codes that name M97.42XA or its code family.
1 Excludes1 notes: T84.01 (via M97.-).
1 Excludes2 notes: M96 (via M97.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Does M97.42XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category M97.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to M97.42XA in its code family, with their registry titles.
- M97.41 — Periprosthetic fracture around internal prosthetic right elbow joint
- 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
- M97.42 — Periprosthetic fracture around internal prosthetic left elbow joint
- M97.42XD — Periprosthetic fracture around internal prosthetic left elbow joint, subsequent encounter
- M97.42XS — Periprosthetic fracture around internal prosthetic left elbow joint, sequela
- M97.8 — Periprosthetic fracture around other internal prosthetic joint
- M97.8XXA — Periprosthetic fracture around other internal prosthetic joint, initial encounter
- M97.8XXD — Periprosthetic fracture around other internal prosthetic joint, subsequent encounter