ICD-10-CM Code M84.621
Pathological fracture in other disease, right humerus
NON-BILLABLE
7th Character Required
|
ICD-10 from 2011 - 2016
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."ICD Code M84.621 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'pathological fracture in other disease, right humerus' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:
| 7th Digit | Billable Code | 7th Digit Specifies |
|---|---|---|
| A | M84.621A | initial encounter for fracture |
| D | M84.621D | subsequent encounter for fracture with routine healing |
| G | M84.621G | subsequent encounter for fracture with delayed healing |
| K | M84.621K | subsequent encounter for fracture with nonunion |
| P | M84.621P | subsequent encounter for fracture with malunion |
| S | M84.621S | sequela |
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 InfoParent Code: M84.62 - Pathological fracture in other disease, humerus