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  6. 2024 ICD-10-CM Code M84.5
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code M84.5

Pathological fracture in neoplastic disease

ICD-10-CM Code:
M84.5
ICD-10 Code for:
Pathological fracture in neoplastic disease
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)

M84.5 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 in neoplastic disease. 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 in neoplastic disease

Non-specific codes like M84.5 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 in neoplastic disease:

  • M84.50 for Pathological fracture in neoplastic disease, unspecified site - NON-BILLABLE CODE

  • Use M84.50XA for initial encounter for fracture - BILLABLE CODE

  • Use M84.50XD for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.50XG for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.50XK for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.50XP for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.50XS for sequela - BILLABLE CODE

  • M84.51 for Pathological fracture in neoplastic disease, shoulder - NON-BILLABLE CODE

  • M84.511 for Pathological fracture in neoplastic disease, right shoulder - NON-BILLABLE CODE

  • Use M84.511A for initial encounter for fracture - BILLABLE CODE

  • Use M84.511D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.511G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.511K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.511P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.511S for sequela - BILLABLE CODE

  • M84.512 for Pathological fracture in neoplastic disease, left shoulder - NON-BILLABLE CODE

  • Use M84.512A for initial encounter for fracture - BILLABLE CODE

  • Use M84.512D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.512G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.512K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.512P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.512S for sequela - BILLABLE CODE

  • M84.519 for Pathological fracture in neoplastic disease, unspecified shoulder - NON-BILLABLE CODE

  • Use M84.519A for initial encounter for fracture - BILLABLE CODE

  • Use M84.519D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.519G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.519K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.519P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.519S for sequela - BILLABLE CODE

  • M84.52 for Pathological fracture in neoplastic disease, humerus - NON-BILLABLE CODE

  • M84.521 for Pathological fracture in neoplastic disease, right humerus - NON-BILLABLE CODE

  • Use M84.521A for initial encounter for fracture - BILLABLE CODE

  • Use M84.521D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.521G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.521K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.521P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.521S for sequela - BILLABLE CODE

  • M84.522 for Pathological fracture in neoplastic disease, left humerus - NON-BILLABLE CODE

  • Use M84.522A for initial encounter for fracture - BILLABLE CODE

  • Use M84.522D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.522G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.522K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.522P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.522S for sequela - BILLABLE CODE

  • M84.529 for Pathological fracture in neoplastic disease, unspecified humerus - NON-BILLABLE CODE

  • Use M84.529A for initial encounter for fracture - BILLABLE CODE

  • Use M84.529D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.529G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.529K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.529P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.529S for sequela - BILLABLE CODE

  • M84.53 for Pathological fracture in neoplastic disease, ulna and radius - NON-BILLABLE CODE

  • M84.531 for Pathological fracture in neoplastic disease, right ulna - NON-BILLABLE CODE

  • Use M84.531A for initial encounter for fracture - BILLABLE CODE

  • Use M84.531D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.531G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.531K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.531P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.531S for sequela - BILLABLE CODE

  • M84.532 for Pathological fracture in neoplastic disease, left ulna - NON-BILLABLE CODE

  • Use M84.532A for initial encounter for fracture - BILLABLE CODE

  • Use M84.532D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.532G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.532K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.532P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.532S for sequela - BILLABLE CODE

  • M84.533 for Pathological fracture in neoplastic disease, right radius - NON-BILLABLE CODE

  • Use M84.533A for initial encounter for fracture - BILLABLE CODE

  • Use M84.533D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.533G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.533K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.533P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.533S for sequela - BILLABLE CODE

  • M84.534 for Pathological fracture in neoplastic disease, left radius - NON-BILLABLE CODE

  • Use M84.534A for initial encounter for fracture - BILLABLE CODE

  • Use M84.534D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.534G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.534K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.534P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.534S for sequela - BILLABLE CODE

  • M84.539 for Pathological fracture in neoplastic disease, unspecified ulna and radius - NON-BILLABLE CODE

  • Use M84.539A for initial encounter for fracture - BILLABLE CODE

  • Use M84.539D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.539G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.539K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.539P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.539S for sequela - BILLABLE CODE

  • M84.54 for Pathological fracture in neoplastic disease, hand - NON-BILLABLE CODE

  • M84.541 for Pathological fracture in neoplastic disease, right hand - NON-BILLABLE CODE

  • Use M84.541A for initial encounter for fracture - BILLABLE CODE

  • Use M84.541D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.541G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.541K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.541P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.541S for sequela - BILLABLE CODE

  • M84.542 for Pathological fracture in neoplastic disease, left hand - NON-BILLABLE CODE

  • Use M84.542A for initial encounter for fracture - BILLABLE CODE

  • Use M84.542D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.542G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.542K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.542P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.542S for sequela - BILLABLE CODE

  • M84.549 for Pathological fracture in neoplastic disease, unspecified hand - NON-BILLABLE CODE

  • Use M84.549A for initial encounter for fracture - BILLABLE CODE

  • Use M84.549D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.549G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.549K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.549P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.549S for sequela - BILLABLE CODE

  • M84.55 for Pathological fracture in neoplastic disease, pelvis and femur - NON-BILLABLE CODE

  • M84.550 for Pathological fracture in neoplastic disease, pelvis - NON-BILLABLE CODE

  • Use M84.550A for initial encounter for fracture - BILLABLE CODE

  • Use M84.550D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.550G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.550K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.550P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.550S for sequela - BILLABLE CODE

  • M84.551 for Pathological fracture in neoplastic disease, right femur - NON-BILLABLE CODE

  • Use M84.551A for initial encounter for fracture - BILLABLE CODE

  • Use M84.551D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.551G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.551K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.551P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.551S for sequela - BILLABLE CODE

  • M84.552 for Pathological fracture in neoplastic disease, left femur - NON-BILLABLE CODE

  • Use M84.552A for initial encounter for fracture - BILLABLE CODE

  • Use M84.552D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.552G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.552K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.552P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.552S for sequela - BILLABLE CODE

  • M84.553 for Pathological fracture in neoplastic disease, unspecified femur - NON-BILLABLE CODE

  • Use M84.553A for initial encounter for fracture - BILLABLE CODE

  • Use M84.553D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.553G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.553K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.553P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.553S for sequela - BILLABLE CODE

  • M84.559 for Pathological fracture in neoplastic disease, hip, unspecified - NON-BILLABLE CODE

  • Use M84.559A for initial encounter for fracture - BILLABLE CODE

  • Use M84.559D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.559G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.559K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.559P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.559S for sequela - BILLABLE CODE

  • M84.56 for Pathological fracture in neoplastic disease, tibia and fibula - NON-BILLABLE CODE

  • M84.561 for Pathological fracture in neoplastic disease, right tibia - NON-BILLABLE CODE

  • Use M84.561A for initial encounter for fracture - BILLABLE CODE

  • Use M84.561D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.561G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.561K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.561P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.561S for sequela - BILLABLE CODE

  • M84.562 for Pathological fracture in neoplastic disease, left tibia - NON-BILLABLE CODE

  • Use M84.562A for initial encounter for fracture - BILLABLE CODE

  • Use M84.562D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.562G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.562K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.562P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.562S for sequela - BILLABLE CODE

  • M84.563 for Pathological fracture in neoplastic disease, right fibula - NON-BILLABLE CODE

  • Use M84.563A for initial encounter for fracture - BILLABLE CODE

  • Use M84.563D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.563G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.563K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.563P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.563S for sequela - BILLABLE CODE

  • M84.564 for Pathological fracture in neoplastic disease, left fibula - NON-BILLABLE CODE

  • Use M84.564A for initial encounter for fracture - BILLABLE CODE

  • Use M84.564D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.564G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.564K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.564P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.564S for sequela - BILLABLE CODE

  • M84.569 for Pathological fracture in neoplastic disease, unspecified tibia and fibula - NON-BILLABLE CODE

  • Use M84.569A for initial encounter for fracture - BILLABLE CODE

  • Use M84.569D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.569G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.569K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.569P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.569S for sequela - BILLABLE CODE

  • M84.57 for Pathological fracture in neoplastic disease, ankle and foot - NON-BILLABLE CODE

  • M84.571 for Pathological fracture in neoplastic disease, right ankle - NON-BILLABLE CODE

  • Use M84.571A for initial encounter for fracture - BILLABLE CODE

  • Use M84.571D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.571G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.571K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.571P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.571S for sequela - BILLABLE CODE

  • M84.572 for Pathological fracture in neoplastic disease, left ankle - NON-BILLABLE CODE

  • Use M84.572A for initial encounter for fracture - BILLABLE CODE

  • Use M84.572D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.572G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.572K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.572P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.572S for sequela - BILLABLE CODE

  • M84.573 for Pathological fracture in neoplastic disease, unspecified ankle - NON-BILLABLE CODE

  • Use M84.573A for initial encounter for fracture - BILLABLE CODE

  • Use M84.573D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.573G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.573K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.573P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.573S for sequela - BILLABLE CODE

  • M84.574 for Pathological fracture in neoplastic disease, right foot - NON-BILLABLE CODE

  • Use M84.574A for initial encounter for fracture - BILLABLE CODE

  • Use M84.574D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.574G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.574K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.574P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.574S for sequela - BILLABLE CODE

  • M84.575 for Pathological fracture in neoplastic disease, left foot - NON-BILLABLE CODE

  • Use M84.575A for initial encounter for fracture - BILLABLE CODE

  • Use M84.575D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.575G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.575K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.575P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.575S for sequela - BILLABLE CODE

  • M84.576 for Pathological fracture in neoplastic disease, unspecified foot - NON-BILLABLE CODE

  • Use M84.576A for initial encounter for fracture - BILLABLE CODE

  • Use M84.576D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.576G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.576K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.576P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.576S for sequela - BILLABLE CODE

  • M84.58 for Pathological fracture in neoplastic disease, other specified site - NON-BILLABLE CODE

  • Use M84.58XA for initial encounter for fracture - BILLABLE CODE

  • Use M84.58XD for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.58XG for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.58XK for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.58XP for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.58XS for sequela - BILLABLE CODE

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Code Also

Code Also
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • underlying neoplasm

7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • The appropriate 7th character is to be added to each code from subcategory M84.5:

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
  • A - initial encounter for fracture
  • D - subsequent encounter for fracture with routine healing
  • G - subsequent encounter for fracture with delayed healing
  • K - subsequent encounter for fracture with nonunion
  • P - subsequent encounter for fracture with malunion
  • S - sequela

Patient Education


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.