ICD-10-CM Code M84.4
Pathological fracture, not elsewhere classified

Coding Notes for M84.4 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:

Inclusion Terms

Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.

Chronic fracture

Pathological fracture NOS

Code Type-1 Excludes:

Type-1 Excludes

Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."

Collapsed vertebra NEC - instead, use code M48.5

Pathological fracture in neoplastic disease - instead, use code M84.5-

Pathological fracture in osteoporosis - instead, use code M80.-

Pathological fracture in other disease - instead, use code M84.6-

Stress fracture - instead, use code M84.3-

Traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-) - instead, use code S12.-

Code Type-2 Excludes:

Type-2 Excludes

Type-2 Excludes means the excluded conditions are different, although they may appear similar. A patient may have both conditions, but one does not include the other. Excludes 2 means "not coded here."

Personal history of (healed) pathological fracture - instead, use code Z87.311

7th Character Extension Notes:

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More Info

The appropriate 7th character is to be added to each code from subcategory M84.4: See code M84.4

ICD-10-CM Alphabetical Index References for 'M84.4 - Pathological fracture, not elsewhere classified'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code M84.4. Click on any term below to browse the alphabetical index.