ICD-10-CM Code M84.41

Pathological fracture, shoulder

Version 2020 Non-Billable Code

Not Valid for Submission

M84.41 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, shoulder. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:M84.41
Short Description:Pathological fracture, shoulder
Long Description:Pathological fracture, shoulder

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

  • 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

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code M84.41 are found in the index:


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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Shoulder Injuries and Disorders

Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it. To remain in a stable or normal position, the shoulder must be anchored by muscles, tendons, and ligaments.

Because your shoulder can be unstable, it can be easily injured. Common problems include

  • Sprains and strains
  • Dislocations
  • Separations
  • Tendinitis
  • Bursitis
  • Torn rotator cuffs
  • Frozen shoulder
  • Fractures
  • Arthritis

Health care providers diagnose shoulder problems by using your medical history, a physical exam, and imaging tests.

Often, the first treatment for shoulder problems is RICE. This stands for Rest, Ice, Compression, and Elevation. Other treatments include exercise and medicines to reduce pain and swelling. If those don't work, you may need surgery.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


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