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  6. 2024 ICD-10-CM Code M97.4
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code M97.4

Periprosthetic fracture around internal prosthetic elbow joint

ICD-10-CM Code:
M97.4
ICD-10 Code for:
Periprosth fracture around internal prosthetic elbow joint
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Diseases of the musculoskeletal system and connective tissue
    (M00–M99)
    • Periprosthetic fracture around internal prosthetic joint
      (M97)
      • Periprosthetic fracture around internal prosthetic joint
        (M97)

M97.4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of periprosthetic fracture around internal prosthetic elbow joint. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Periprosth fracture around internal prosthetic elbow joint

Non-specific codes like M97.4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for periprosth fracture around internal prosthetic elbow joint:

  • M97.41 for Periprosthetic fracture around internal prosthetic right elbow joint - NON-BILLABLE CODE

  • Use M97.41XA for initial encounter - BILLABLE CODE

  • Use M97.41XD for subsequent encounter - BILLABLE CODE

  • Use M97.41XS for sequela - BILLABLE CODE

  • M97.42 for Periprosthetic fracture around internal prosthetic left elbow joint - NON-BILLABLE CODE

  • Use M97.42XA for initial encounter - BILLABLE CODE

  • Use M97.42XD for subsequent encounter - BILLABLE CODE

  • Use M97.42XS for sequela - BILLABLE CODE

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Patient Education


Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018