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M84.5 Non-Billable Code

Pathological fracture in neoplastic disease

Chapter Classification

Chapter 13 Diseases of the musculoskeletal system and connective tissue (M00-M99)

Section Detail

M80-M85 Disorders of bone density and structure (M80-M85)

Code Hierarchy

This code is a child of M84.

As a non-billable code, it requires more specific digits to be used on a medical claim.

Coding Guidelines & Notes

codeAlso
  • underlying neoplasm
sevenChrDef
  • {'char': 'A', 'text': 'initial encounter for fracture'}
  • {'char': 'D', 'text': 'subsequent encounter for fracture with routine healing'}
  • {'char': 'G', 'text': 'subsequent encounter for fracture with delayed healing'}
  • {'char': 'K', 'text': 'subsequent encounter for fracture with nonunion'}
  • {'char': 'P', 'text': 'subsequent encounter for fracture with malunion'}
  • {'char': 'S', 'text': 'sequela'}
sevenChrNote
  • The appropriate 7th character is to be added to each code from subcategory M84.5:

More Specific Diagnosis Codes

This code is not billable as it requires a higher level of specificity. Select a more specific code below.

  • M84.50 - Pathological fracture in neoplastic disease, unspecified site Billable
  • M84.51 - Pathological fracture in neoplastic disease, shoulder
  • M84.52 - Pathological fracture in neoplastic disease, humerus
  • M84.53 - Pathological fracture in neoplastic disease, ulna and radius
  • M84.54 - Pathological fracture in neoplastic disease, hand
  • M84.55 - Pathological fracture in neoplastic disease, pelvis and femur
  • M84.56 - Pathological fracture in neoplastic disease, tibia and fibula
  • M84.57 - Pathological fracture in neoplastic disease, ankle and foot
  • M84.58 - Pathological fracture in neoplastic disease, other specified site Billable

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