M84.6 Non-Billable Code

Pathological fracture in other 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 condition

excludes1

pathological fracture in osteoporosis (M80.-)

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 M84.6:

More Specific Diagnosis Codes

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

M84.60 - Pathological fracture in other disease, unspecified site Billable
M84.61 - Pathological fracture in other disease, shoulder
M84.62 - Pathological fracture in other disease, humerus
M84.63 - Pathological fracture in other disease, ulna and radius
M84.64 - Pathological fracture in other disease, hand
M84.65 - Pathological fracture in other disease, pelvis and femur
M84.66 - Pathological fracture in other disease, tibia and fibula
M84.67 - Pathological fracture in other disease, ankle and foot
M84.68 - Pathological fracture in other disease, other site Billable

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