M84.4 - Pathological fracture, not elsewhere classified
- Applicable to Pathological fracture, not elsewhere classified
- The 2025 edition of ICD10-CM M84.4 became effective on October 1, 2024.
- This is the American ICD10-CM version of M84.4 - other international versions of ICD10 M84.4 may differ.
- M84.4 is a Non-Billable / Non-Specific ICD10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- M84.4 Code should not be used for billing or reimbursement purposes as there are multiple ICD-10 CM codes below it that contain a greater level of detail.
- M84.4 - Pathological fracture, not elsewhere classified
- M84.4 - Pathological fracture, not elsewhere classified
- M84.40 - Pathological fracture, unspecified site
- M84.41 - Pathological fracture, shoulder
- M84.411 - Pathological fracture, right shoulder
- M84.412 - Pathological fracture, left shoulder
- M84.419 - Pathological fracture, unspecified shoulder
- M84.42 - Pathological fracture, humerus
- M84.421 - Pathological fracture, right humerus
- M84.422 - Pathological fracture, left humerus
- M84.429 - Pathological fracture, unspecified humerus
- M84.43 - Pathological fracture, ulna and radius
- M84.431 - Pathological fracture, right ulna
- M84.432 - Pathological fracture, left ulna
- M84.433 - Pathological fracture, right radius
- M84.434 - Pathological fracture, left radius
- M84.439 - Pathological fracture, unspecified ulna and radius
- M84.44 - Pathological fracture, hand and fingers
- M84.441 - Pathological fracture, right hand
- M84.442 - Pathological fracture, left hand
- M84.443 - Pathological fracture, unspecified hand
- M84.444 - Pathological fracture, right finger(s)
- M84.445 - Pathological fracture, left finger(s)
- M84.446 - Pathological fracture, unspecified finger(s)
- M84.45 - Pathological fracture, femur and pelvis
- M84.451 - Pathological fracture, right femur
- M84.452 - Pathological fracture, left femur
- M84.453 - Pathological fracture, unspecified femur
- M84.454 - Pathological fracture, pelvis
- M84.459 - Pathological fracture, hip, unspecified
- M84.46 - Pathological fracture, tibia and fibula
- M84.461 - Pathological fracture, right tibia
- M84.462 - Pathological fracture, left tibia
- M84.463 - Pathological fracture, right fibula
- M84.464 - Pathological fracture, left fibula
- M84.469 - Pathological fracture, unspecified tibia and fibula
- M84.47 - Pathological fracture, ankle, foot and toes
- M84.471 - Pathological fracture, right ankle
- M84.472 - Pathological fracture, left ankle
- M84.473 - Pathological fracture, unspecified ankle
- M84.474 - Pathological fracture, right foot
- M84.475 - Pathological fracture, left foot
- M84.476 - Pathological fracture, unspecified foot
- M84.477 - Pathological fracture, right toe(s)
- M84.478 - Pathological fracture, left toe(s)
- M84.479 - Pathological fracture, unspecified toe(s)
- M84.48 - Pathological fracture, other site
Inclusion terms help to clarify and specify the conditions or diseases covered by a particular ICD-10-CM code.
Inclusion Term:
- Chronic fracture
- Pathological fracture NOS
Type 1 Excludes
- collapsed vertebra NEC (M48.5)
- pathological fracture in neoplastic disease (M84.5-)
- pathological fracture in osteoporosis (M80.-)
- pathological fracture in other disease (M84.6-)
- stress fracture (M84.3-)
- traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
Type 2 Excludes
- personal history of (healed) pathological fracture (Z87.311)
sevenchrnote
- The appropriate 7th character is to be added to each code from subcategory M84.4:
Non-Billable/Non-Specific Code
The following codes above M84.4 contain annotation back-references that may be applicable to M84.4:
- Chapter: M00-M99 - Diseases of the musculoskeletal system and connective tissue
- Section: M80-M85 - Disorders of bone density and structure
- Category: M84 - Disorder of continuity of bone
Browse other similar CM codes:
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
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