ICD-10-CM Code M84.4

Pathological fracture, not elsewhere classified

Version 2020 Non-Billable Code

Not Valid for Submission

M84.4 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of pathological fracture, not elsewhere classified. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:M84.4
Short Description:Pathological fracture, not elsewhere classified
Long Description:Pathological fracture, not elsewhere classified

Consider the following ICD-10 codes with a higher level of specificity:

  • M84.40 - Pathological fracture, unspecified site
  • M84.40XA - Pathological fracture, unspecified site, initial encounter for fracture
  • M84.40XD - Pathological fracture, unspecified site, subsequent encounter for fracture with routine healing
  • M84.40XG - Pathological fracture, unspecified site, subsequent encounter for fracture with delayed healing
  • M84.40XK - Pathological fracture, unspecified site, subsequent encounter for fracture with nonunion
  • M84.40XP - Pathological fracture, unspecified site, subsequent encounter for fracture with malunion
  • M84.40XS - Pathological fracture, unspecified site, sequela
  • M84.41 - Pathological fracture, shoulder
  • M84.411 - Pathological fracture, right shoulder
  • M84.411A - Pathological fracture, right shoulder, initial encounter for fracture
  • M84.411D - Pathological fracture, right shoulder, subsequent encounter for fracture with routine healing
  • M84.411G - Pathological fracture, right shoulder, subsequent encounter for fracture with delayed healing
  • M84.411K - Pathological fracture, right shoulder, subsequent encounter for fracture with nonunion
  • M84.411P - Pathological fracture, right shoulder, subsequent encounter for fracture with malunion
  • M84.411S - Pathological fracture, right shoulder, sequela
  • M84.412 - Pathological fracture, left shoulder
  • M84.412A - Pathological fracture, left shoulder, initial encounter for fracture
  • M84.412D - Pathological fracture, left shoulder, subsequent encounter for fracture with routine healing
  • M84.412G - Pathological fracture, left shoulder, subsequent encounter for fracture with delayed healing
  • M84.412K - Pathological fracture, left shoulder, subsequent encounter for fracture with nonunion
  • M84.412P - Pathological fracture, left shoulder, subsequent encounter for fracture with malunion
  • M84.412S - Pathological fracture, left shoulder, sequela
  • M84.419 - Pathological fracture, unspecified shoulder
  • M84.419A - Pathological fracture, unspecified shoulder, initial encounter for fracture
  • M84.419D - Pathological fracture, unspecified shoulder, subsequent encounter for fracture with routine healing
  • M84.419G - Pathological fracture, unspecified shoulder, subsequent encounter for fracture with delayed healing
  • M84.419K - Pathological fracture, unspecified shoulder, subsequent encounter for fracture with nonunion
  • M84.419P - Pathological fracture, unspecified shoulder, subsequent encounter for fracture with malunion
  • M84.419S - Pathological fracture, unspecified shoulder, sequela
  • M84.42 - Pathological fracture, humerus
  • M84.421 - Pathological fracture, right humerus
  • M84.421A - Pathological fracture, right humerus, initial encounter for fracture
  • M84.421D - Pathological fracture, right humerus, subsequent encounter for fracture with routine healing
  • M84.421G - Pathological fracture, right humerus, subsequent encounter for fracture with delayed healing
  • M84.421K - Pathological fracture, right humerus, subsequent encounter for fracture with nonunion
  • M84.421P - Pathological fracture, right humerus, subsequent encounter for fracture with malunion
  • M84.421S - Pathological fracture, right humerus, sequela
  • M84.422 - Pathological fracture, left humerus
  • M84.422A - Pathological fracture, left humerus, initial encounter for fracture
  • M84.422D - Pathological fracture, left humerus, subsequent encounter for fracture with routine healing
  • M84.422G - Pathological fracture, left humerus, subsequent encounter for fracture with delayed healing
  • M84.422K - Pathological fracture, left humerus, subsequent encounter for fracture with nonunion
  • M84.422P - Pathological fracture, left humerus, subsequent encounter for fracture with malunion
  • M84.422S - Pathological fracture, left humerus, sequela
  • M84.429 - Pathological fracture, unspecified humerus
  • M84.429A - Pathological fracture, unspecified humerus, initial encounter for fracture
  • M84.429D - Pathological fracture, unspecified humerus, subsequent encounter for fracture with routine healing
  • M84.429G - Pathological fracture, unspecified humerus, subsequent encounter for fracture with delayed healing
  • M84.429K - Pathological fracture, unspecified humerus, subsequent encounter for fracture with nonunion
  • M84.429P - Pathological fracture, unspecified humerus, subsequent encounter for fracture with malunion
  • M84.429S - Pathological fracture, unspecified humerus, sequela
  • M84.43 - Pathological fracture, ulna and radius
  • M84.431 - Pathological fracture, right ulna
  • M84.431A - Pathological fracture, right ulna, initial encounter for fracture
  • M84.431D - Pathological fracture, right ulna, subsequent encounter for fracture with routine healing
  • M84.431G - Pathological fracture, right ulna, subsequent encounter for fracture with delayed healing
  • M84.431K - Pathological fracture, right ulna, subsequent encounter for fracture with nonunion
  • M84.431P - Pathological fracture, right ulna, subsequent encounter for fracture with malunion
  • M84.431S - Pathological fracture, right ulna, sequela
  • M84.432 - Pathological fracture, left ulna
  • M84.432A - Pathological fracture, left ulna, initial encounter for fracture
  • M84.432D - Pathological fracture, left ulna, subsequent encounter for fracture with routine healing
  • M84.432G - Pathological fracture, left ulna, subsequent encounter for fracture with delayed healing
  • M84.432K - Pathological fracture, left ulna, subsequent encounter for fracture with nonunion
  • M84.432P - Pathological fracture, left ulna, subsequent encounter for fracture with malunion
  • M84.432S - Pathological fracture, left ulna, sequela
  • M84.433 - Pathological fracture, right radius
  • M84.433A - Pathological fracture, right radius, initial encounter for fracture
  • M84.433D - Pathological fracture, right radius, subsequent encounter for fracture with routine healing
  • M84.433G - Pathological fracture, right radius, subsequent encounter for fracture with delayed healing
  • M84.433K - Pathological fracture, right radius, subsequent encounter for fracture with nonunion
  • M84.433P - Pathological fracture, right radius, subsequent encounter for fracture with malunion
  • M84.433S - Pathological fracture, right radius, sequela
  • M84.434 - Pathological fracture, left radius
  • M84.434A - Pathological fracture, left radius, initial encounter for fracture
  • M84.434D - Pathological fracture, left radius, subsequent encounter for fracture with routine healing
  • M84.434G - Pathological fracture, left radius, subsequent encounter for fracture with delayed healing
  • M84.434K - Pathological fracture, left radius, subsequent encounter for fracture with nonunion
  • M84.434P - Pathological fracture, left radius, subsequent encounter for fracture with malunion
  • M84.434S - Pathological fracture, left radius, sequela
  • M84.439 - Pathological fracture, unspecified ulna and radius
  • M84.439A - Pathological fracture, unspecified ulna and radius, initial encounter for fracture
  • M84.439D - Pathological fracture, unspecified ulna and radius, subsequent encounter for fracture with routine healing
  • M84.439G - Pathological fracture, unspecified ulna and radius, subsequent encounter for fracture with delayed healing
  • M84.439K - Pathological fracture, unspecified ulna and radius, subsequent encounter for fracture with nonunion
  • M84.439P - Pathological fracture, unspecified ulna and radius, subsequent encounter for fracture with malunion
  • M84.439S - Pathological fracture, unspecified ulna and radius, sequela
  • M84.44 - Pathological fracture, hand and fingers
  • M84.441 - Pathological fracture, right hand
  • M84.441A - Pathological fracture, right hand, initial encounter for fracture
  • M84.441D - Pathological fracture, right hand, subsequent encounter for fracture with routine healing
  • M84.441G - Pathological fracture, right hand, subsequent encounter for fracture with delayed healing
  • M84.441K - Pathological fracture, right hand, subsequent encounter for fracture with nonunion
  • M84.441P - Pathological fracture, right hand, subsequent encounter for fracture with malunion
  • M84.441S - Pathological fracture, right hand, sequela
  • M84.442 - Pathological fracture, left hand
  • M84.442A - Pathological fracture, left hand, initial encounter for fracture
  • M84.442D - Pathological fracture, left hand, subsequent encounter for fracture with routine healing
  • M84.442G - Pathological fracture, left hand, subsequent encounter for fracture with delayed healing
  • M84.442K - Pathological fracture, left hand, subsequent encounter for fracture with nonunion
  • M84.442P - Pathological fracture, left hand, subsequent encounter for fracture with malunion
  • M84.442S - Pathological fracture, left hand, sequela
  • M84.443 - Pathological fracture, unspecified hand
  • M84.443A - Pathological fracture, unspecified hand, initial encounter for fracture
  • M84.443D - Pathological fracture, unspecified hand, subsequent encounter for fracture with routine healing
  • M84.443G - Pathological fracture, unspecified hand, subsequent encounter for fracture with delayed healing
  • M84.443K - Pathological fracture, unspecified hand, subsequent encounter for fracture with nonunion
  • M84.443P - Pathological fracture, unspecified hand, subsequent encounter for fracture with malunion
  • M84.443S - Pathological fracture, unspecified hand, sequela
  • M84.444 - Pathological fracture, right finger(s)
  • M84.444A - Pathological fracture, right finger(s), initial encounter for fracture
  • M84.444D - Pathological fracture, right finger(s), subsequent encounter for fracture with routine healing
  • M84.444G - Pathological fracture, right finger(s), subsequent encounter for fracture with delayed healing
  • M84.444K - Pathological fracture, right finger(s), subsequent encounter for fracture with nonunion
  • M84.444P - Pathological fracture, right finger(s), subsequent encounter for fracture with malunion
  • M84.444S - Pathological fracture, right finger(s), sequela
  • M84.445 - Pathological fracture, left finger(s)
  • M84.445A - Pathological fracture, left finger(s), initial encounter for fracture
  • M84.445D - Pathological fracture, left finger(s), subsequent encounter for fracture with routine healing
  • M84.445G - Pathological fracture, left finger(s), subsequent encounter for fracture with delayed healing
  • M84.445K - Pathological fracture, left finger(s), subsequent encounter for fracture with nonunion
  • M84.445P - Pathological fracture, left finger(s), subsequent encounter for fracture with malunion
  • M84.445S - Pathological fracture, left finger(s), sequela
  • M84.446 - Pathological fracture, unspecified finger(s)
  • M84.446A - Pathological fracture, unspecified finger(s), initial encounter for fracture
  • M84.446D - Pathological fracture, unspecified finger(s), subsequent encounter for fracture with routine healing
  • M84.446G - Pathological fracture, unspecified finger(s), subsequent encounter for fracture with delayed healing
  • M84.446K - Pathological fracture, unspecified finger(s), subsequent encounter for fracture with nonunion
  • M84.446P - Pathological fracture, unspecified finger(s), subsequent encounter for fracture with malunion
  • M84.446S - Pathological fracture, unspecified finger(s), sequela
  • M84.45 - Pathological fracture, femur and pelvis
  • M84.451 - Pathological fracture, right femur
  • M84.451A - Pathological fracture, right femur, initial encounter for fracture
  • M84.451D - Pathological fracture, right femur, subsequent encounter for fracture with routine healing
  • M84.451G - Pathological fracture, right femur, subsequent encounter for fracture with delayed healing
  • M84.451K - Pathological fracture, right femur, subsequent encounter for fracture with nonunion
  • M84.451P - Pathological fracture, right femur, subsequent encounter for fracture with malunion
  • M84.451S - Pathological fracture, right femur, sequela
  • M84.452 - Pathological fracture, left femur
  • M84.452A - Pathological fracture, left femur, initial encounter for fracture
  • M84.452D - Pathological fracture, left femur, subsequent encounter for fracture with routine healing
  • M84.452G - Pathological fracture, left femur, subsequent encounter for fracture with delayed healing
  • M84.452K - Pathological fracture, left femur, subsequent encounter for fracture with nonunion
  • M84.452P - Pathological fracture, left femur, subsequent encounter for fracture with malunion
  • M84.452S - Pathological fracture, left femur, sequela
  • M84.453 - Pathological fracture, unspecified femur
  • M84.453A - Pathological fracture, unspecified femur, initial encounter for fracture
  • M84.453D - Pathological fracture, unspecified femur, subsequent encounter for fracture with routine healing
  • M84.453G - Pathological fracture, unspecified femur, subsequent encounter for fracture with delayed healing
  • M84.453K - Pathological fracture, unspecified femur, subsequent encounter for fracture with nonunion
  • M84.453P - Pathological fracture, unspecified femur, subsequent encounter for fracture with malunion
  • M84.453S - Pathological fracture, unspecified femur, sequela
  • M84.454 - Pathological fracture, pelvis
  • M84.454A - Pathological fracture, pelvis, initial encounter for fracture
  • M84.454D - Pathological fracture, pelvis, subsequent encounter for fracture with routine healing
  • M84.454G - Pathological fracture, pelvis, subsequent encounter for fracture with delayed healing
  • M84.454K - Pathological fracture, pelvis, subsequent encounter for fracture with nonunion
  • M84.454P - Pathological fracture, pelvis, subsequent encounter for fracture with malunion
  • M84.454S - Pathological fracture, pelvis, sequela
  • M84.459 - Pathological fracture, hip, unspecified
  • M84.459A - Pathological fracture, hip, unspecified, initial encounter for fracture
  • M84.459D - Pathological fracture, hip, unspecified, subsequent encounter for fracture with routine healing
  • M84.459G - Pathological fracture, hip, unspecified, subsequent encounter for fracture with delayed healing
  • M84.459K - Pathological fracture, hip, unspecified, subsequent encounter for fracture with nonunion
  • M84.459P - Pathological fracture, hip, unspecified, subsequent encounter for fracture with malunion
  • M84.459S - Pathological fracture, hip, unspecified, sequela
  • M84.46 - Pathological fracture, tibia and fibula
  • M84.461 - Pathological fracture, right tibia
  • M84.461A - Pathological fracture, right tibia, initial encounter for fracture
  • M84.461D - Pathological fracture, right tibia, subsequent encounter for fracture with routine healing
  • M84.461G - Pathological fracture, right tibia, subsequent encounter for fracture with delayed healing
  • M84.461K - Pathological fracture, right tibia, subsequent encounter for fracture with nonunion
  • M84.461P - Pathological fracture, right tibia, subsequent encounter for fracture with malunion
  • M84.461S - Pathological fracture, right tibia, sequela
  • M84.462 - Pathological fracture, left tibia
  • M84.462A - Pathological fracture, left tibia, initial encounter for fracture
  • M84.462D - Pathological fracture, left tibia, subsequent encounter for fracture with routine healing
  • M84.462G - Pathological fracture, left tibia, subsequent encounter for fracture with delayed healing
  • M84.462K - Pathological fracture, left tibia, subsequent encounter for fracture with nonunion
  • M84.462P - Pathological fracture, left tibia, subsequent encounter for fracture with malunion
  • M84.462S - Pathological fracture, left tibia, sequela
  • M84.463 - Pathological fracture, right fibula
  • M84.463A - Pathological fracture, right fibula, initial encounter for fracture
  • M84.463D - Pathological fracture, right fibula, subsequent encounter for fracture with routine healing
  • M84.463G - Pathological fracture, right fibula, subsequent encounter for fracture with delayed healing
  • M84.463K - Pathological fracture, right fibula, subsequent encounter for fracture with nonunion
  • M84.463P - Pathological fracture, right fibula, subsequent encounter for fracture with malunion
  • M84.463S - Pathological fracture, right fibula, sequela
  • M84.464 - Pathological fracture, left fibula
  • M84.464A - Pathological fracture, left fibula, initial encounter for fracture
  • M84.464D - Pathological fracture, left fibula, subsequent encounter for fracture with routine healing
  • M84.464G - Pathological fracture, left fibula, subsequent encounter for fracture with delayed healing
  • M84.464K - Pathological fracture, left fibula, subsequent encounter for fracture with nonunion
  • M84.464P - Pathological fracture, left fibula, subsequent encounter for fracture with malunion
  • M84.464S - Pathological fracture, left fibula, sequela
  • M84.469 - Pathological fracture, unspecified tibia and fibula
  • M84.469A - Pathological fracture, unspecified tibia and fibula, initial encounter for fracture
  • M84.469D - Pathological fracture, unspecified tibia and fibula, subsequent encounter for fracture with routine healing
  • M84.469G - Pathological fracture, unspecified tibia and fibula, subsequent encounter for fracture with delayed healing
  • M84.469K - Pathological fracture, unspecified tibia and fibula, subsequent encounter for fracture with nonunion
  • M84.469P - Pathological fracture, unspecified tibia and fibula, subsequent encounter for fracture with malunion
  • M84.469S - Pathological fracture, unspecified tibia and fibula, sequela
  • M84.47 - Pathological fracture, ankle, foot and toes
  • M84.471 - Pathological fracture, right ankle
  • M84.471A - Pathological fracture, right ankle, initial encounter for fracture
  • M84.471D - Pathological fracture, right ankle, subsequent encounter for fracture with routine healing
  • M84.471G - Pathological fracture, right ankle, subsequent encounter for fracture with delayed healing
  • M84.471K - Pathological fracture, right ankle, subsequent encounter for fracture with nonunion
  • M84.471P - Pathological fracture, right ankle, subsequent encounter for fracture with malunion
  • M84.471S - Pathological fracture, right ankle, sequela
  • M84.472 - Pathological fracture, left ankle
  • M84.472A - Pathological fracture, left ankle, initial encounter for fracture
  • M84.472D - Pathological fracture, left ankle, subsequent encounter for fracture with routine healing
  • M84.472G - Pathological fracture, left ankle, subsequent encounter for fracture with delayed healing
  • M84.472K - Pathological fracture, left ankle, subsequent encounter for fracture with nonunion
  • M84.472P - Pathological fracture, left ankle, subsequent encounter for fracture with malunion
  • M84.472S - Pathological fracture, left ankle, sequela
  • M84.473 - Pathological fracture, unspecified ankle
  • M84.473A - Pathological fracture, unspecified ankle, initial encounter for fracture
  • M84.473D - Pathological fracture, unspecified ankle, subsequent encounter for fracture with routine healing
  • M84.473G - Pathological fracture, unspecified ankle, subsequent encounter for fracture with delayed healing
  • M84.473K - Pathological fracture, unspecified ankle, subsequent encounter for fracture with nonunion
  • M84.473P - Pathological fracture, unspecified ankle, subsequent encounter for fracture with malunion
  • M84.473S - Pathological fracture, unspecified ankle, sequela
  • M84.474 - Pathological fracture, right foot
  • M84.474A - Pathological fracture, right foot, initial encounter for fracture
  • M84.474D - Pathological fracture, right foot, subsequent encounter for fracture with routine healing
  • M84.474G - Pathological fracture, right foot, subsequent encounter for fracture with delayed healing
  • M84.474K - Pathological fracture, right foot, subsequent encounter for fracture with nonunion
  • M84.474P - Pathological fracture, right foot, subsequent encounter for fracture with malunion
  • M84.474S - Pathological fracture, right foot, sequela
  • M84.475 - Pathological fracture, left foot
  • M84.475A - Pathological fracture, left foot, initial encounter for fracture
  • M84.475D - Pathological fracture, left foot, subsequent encounter for fracture with routine healing
  • M84.475G - Pathological fracture, left foot, subsequent encounter for fracture with delayed healing
  • M84.475K - Pathological fracture, left foot, subsequent encounter for fracture with nonunion
  • M84.475P - Pathological fracture, left foot, subsequent encounter for fracture with malunion
  • M84.475S - Pathological fracture, left foot, sequela
  • M84.476 - Pathological fracture, unspecified foot
  • M84.476A - Pathological fracture, unspecified foot, initial encounter for fracture
  • M84.476D - Pathological fracture, unspecified foot, subsequent encounter for fracture with routine healing
  • M84.476G - Pathological fracture, unspecified foot, subsequent encounter for fracture with delayed healing
  • M84.476K - Pathological fracture, unspecified foot, subsequent encounter for fracture with nonunion
  • M84.476P - Pathological fracture, unspecified foot, subsequent encounter for fracture with malunion
  • M84.476S - Pathological fracture, unspecified foot, sequela
  • M84.477 - Pathological fracture, right toe(s)
  • M84.477A - Pathological fracture, right toe(s), initial encounter for fracture
  • M84.477D - Pathological fracture, right toe(s), subsequent encounter for fracture with routine healing
  • M84.477G - Pathological fracture, right toe(s), subsequent encounter for fracture with delayed healing
  • M84.477K - Pathological fracture, right toe(s), subsequent encounter for fracture with nonunion
  • M84.477P - Pathological fracture, right toe(s), subsequent encounter for fracture with malunion
  • M84.477S - Pathological fracture, right toe(s), sequela
  • M84.478 - Pathological fracture, left toe(s)
  • M84.478A - Pathological fracture, left toe(s), initial encounter for fracture
  • M84.478D - Pathological fracture, left toe(s), subsequent encounter for fracture with routine healing
  • M84.478G - Pathological fracture, left toe(s), subsequent encounter for fracture with delayed healing
  • M84.478K - Pathological fracture, left toe(s), subsequent encounter for fracture with nonunion
  • M84.478P - Pathological fracture, left toe(s), subsequent encounter for fracture with malunion
  • M84.478S - Pathological fracture, left toe(s), sequela
  • M84.479 - Pathological fracture, unspecified toe(s)
  • M84.479A - Pathological fracture, unspecified toe(s), initial encounter for fracture
  • M84.479D - Pathological fracture, unspecified toe(s), subsequent encounter for fracture with routine healing
  • M84.479G - Pathological fracture, unspecified toe(s), subsequent encounter for fracture with delayed healing
  • M84.479K - Pathological fracture, unspecified toe(s), subsequent encounter for fracture with nonunion
  • M84.479P - Pathological fracture, unspecified toe(s), subsequent encounter for fracture with malunion
  • M84.479S - Pathological fracture, unspecified toe(s), sequela
  • M84.48 - Pathological fracture, other site
  • M84.48XA - Pathological fracture, other site, initial encounter for fracture
  • M84.48XD - Pathological fracture, other site, subsequent encounter for fracture with routine healing
  • M84.48XG - Pathological fracture, other site, subsequent encounter for fracture with delayed healing
  • M84.48XK - Pathological fracture, other site, subsequent encounter for fracture with nonunion
  • M84.48XP - Pathological fracture, other site, subsequent encounter for fracture with malunion
  • M84.48XS - Pathological fracture, other site, sequela

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code M84.4:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Chronic fracture
  • Pathological fracture NOS

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • personal history of healed pathological fracture Z87.311

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 M84.4:

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

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)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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.


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