M97.42
⚠ Non-billable
Periprosthetic fracture around internal prosthetic left elbow joint
ICD-10-CM · FY2026 · Diseases of the Musculoskeletal System and Connective Tissue
Code
M97.42
System
ICD-10-CM
Billable
No — use specific code
Effective
FY2026
Chapter
Diseases of the Musculoskeletal System and Connective Tissue
Source
CMS / CDC NCHS
⚠ Verify before billing. Confirm against the current CMS/NCHS ICD-10-CM files and your payer's rules before claims submission.
Frequently asked questions
What is ICD-10 code M97.42?
ICD-10-CM code M97.42 represents Periprosthetic fracture around internal prosthetic left elbow joint. It is a non-billable header code requiring a more specific subcategory in the Diseases of the Musculoskeletal System and Connective Tissue chapter, effective October 1, 2025 – September 30, 2026.
Is M97.42 billable?
No. M97.42 is a non-billable header. Select a more specific subcategory for claims submission.
What chapter is M97.42 in?
M97.42 belongs to the Diseases of the Musculoskeletal System and Connective Tissue chapter (M00–M99) of ICD-10-CM.
Related codes in the M97 category
M97
Periprosthetic fracture around internal prosthetic joint
Non-billable
M97.0
Periprosthetic fracture around internal prosthetic hip joint
Non-billable
M97.1
Periprosthetic fracture around internal prosthetic knee joint
Non-billable
M97.2
Periprosthetic fracture around internal prosthetic ankle joint
Non-billable
M97.3
Periprosthetic fracture around internal prosthetic shoulder joint
Non-billable
M97.4
Periprosthetic fracture around internal prosthetic elbow joint
Non-billable
M97.8
Periprosthetic fracture around other internal prosthetic joint
Non-billable
M97.9
Periprosthetic fracture around unspecified internal prosthetic joint
Non-billable
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