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 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:

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

         
Non-Billable/Non-Specific Code

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