ICD-10-CM diagnosis code
M97.42XA Periprosthetic fracture around internal prosthetic left elbow joint, initial encounter
- Billable
- Yes, a complete code (FY2026)
- Category
- M97
Encounter (7th character)
This code is for the initial encounter: the patient is receiving active treatment for the condition (for example surgery, an emergency department visit or evaluation by a new clinician).
Documenting M97.42XA? Write the note in seconds
Paste your rough notes and get a structured SOAP note. Free, no account needed.
Other codes in M97
36 complete codes in this category.
- M97.32XAPeriprosthetic fracture around internal prosthetic left shoulder joint, initial encounter
- M97.32XDPeriprosthetic fracture around internal prosthetic left shoulder joint, subsequent encounter
- M97.32XSPeriprosthetic fracture around internal prosthetic left shoulder joint, sequela
- M97.41XAPeriprosthetic fracture around internal prosthetic right elbow joint, initial encounter
- M97.41XDPeriprosthetic fracture around internal prosthetic right elbow joint, subsequent encounter
- M97.41XSPeriprosthetic fracture around internal prosthetic right elbow joint, sequela
- M97.42XAPeriprosthetic fracture around internal prosthetic left elbow joint, initial encounter
- M97.42XDPeriprosthetic fracture around internal prosthetic left elbow joint, subsequent encounter
- M97.42XSPeriprosthetic fracture around internal prosthetic left elbow joint, sequela
- M97.8XXAPeriprosthetic fracture around other internal prosthetic joint, initial encounter
- M97.8XXDPeriprosthetic fracture around other internal prosthetic joint, subsequent encounter
- M97.8XXSPeriprosthetic fracture around other internal prosthetic joint, sequela
Documentation tips
- Make sure the note supports every element of the title, “Periprosthetic fracture around internal prosthetic left elbow joint, initial encounter”: each detail in it should be traceable to the history, examination or assessment.
- Code to the highest specificity the documentation supports. If a detail is missing from the note, add it to the note rather than choosing a less specific code by default.
- Check the Tabular List and official guidelines for instructional notes (“code first”, “use additional code”, Excludes1/Excludes2) that apply to M97.
ICD-10-CM is developed by the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, and is based on the WHO ICD-10. Codes and titles are reproduced unchanged from the FY2026 code list (effective 1 October 2025). Their use here does not imply endorsement by CDC, HHS or the U.S. Government. Changes effective on or after 1 October 2026 may not be reflected yet; check the current release at cdc.gov or cms.gov before submitting claims.
Look up another code
Stop looking codes up by hand
Docdemic listens to the consultation, writes the note and suggests the diagnosis and procedure codes that fit it, each one checked against your country’s official code list.
Try Docdemic free