Version 2024

2024 ICD-10-CM Diagnosis Code M84.43

Pathological fracture, ulna and radius

ICD-10-CM Code:
M84.43
ICD-10 Code for:
Pathological fracture, ulna and radius
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Diseases of the musculoskeletal system and connective tissue
    (M00–M99)
    • Disorders of bone density and structure
      (M80-M85)
      • Disorder of continuity of bone
        (M84)

M84.43 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of pathological fracture, ulna and radius. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Pathological fracture, ulna and radius

Non-specific codes like M84.43 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for pathological fracture, ulna and radius:

  • M84.431 for Pathological fracture, right ulna - NON-BILLABLE CODE

  • Use M84.431A for initial encounter for fracture - BILLABLE CODE

  • Use M84.431D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.431G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.431K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.431P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.431S for sequela - BILLABLE CODE

  • M84.432 for Pathological fracture, left ulna - NON-BILLABLE CODE

  • Use M84.432A for initial encounter for fracture - BILLABLE CODE

  • Use M84.432D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.432G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.432K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.432P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.432S for sequela - BILLABLE CODE

  • M84.433 for Pathological fracture, right radius - NON-BILLABLE CODE

  • Use M84.433A for initial encounter for fracture - BILLABLE CODE

  • Use M84.433D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.433G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.433K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.433P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.433S for sequela - BILLABLE CODE

  • M84.434 for Pathological fracture, left radius - NON-BILLABLE CODE

  • Use M84.434A for initial encounter for fracture - BILLABLE CODE

  • Use M84.434D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.434G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.434K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.434P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.434S for sequela - BILLABLE CODE

  • M84.439 for Pathological fracture, unspecified ulna and radius - NON-BILLABLE CODE

  • Use M84.439A for initial encounter for fracture - BILLABLE CODE

  • Use M84.439D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.439G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.439K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.439P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.439S for sequela - BILLABLE CODE

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Patient Education


Arm Injuries and Disorders

Of the 206 bones in your body, three of them are in your arm: the humerus, radius, and ulna. Your arms are also made up of muscles, joints, tendons, and other connective tissue. Injuries to any of these parts of the arm can occur during sports, a fall, or an accident.

Types of arm injuries include :

  • Tendinitis and bursitis
  • Sprains
  • Dislocations
  • Fractures (broken bones)
  • Nerve problems
  • Osteoarthritis

You may also have problems or injure specific parts of your arm, such as your hand, wrist, elbow, or shoulder.


[Learn More in MedlinePlus]

Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.