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  6. 2024 ICD-10-CM Code M84.45
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code M84.45

Pathological fracture, femur and pelvis

ICD-10-CM Code:
M84.45
ICD-10 Code for:
Pathological fracture, femur and pelvis
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)

M84.45 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, femur and pelvis. 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, femur and pelvis

Non-specific codes like M84.45 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, femur and pelvis:

  • M84.451 for Pathological fracture, right femur - NON-BILLABLE CODE

  • Use M84.451A for initial encounter for fracture - BILLABLE CODE

  • Use M84.451D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.451G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.451K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.451P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.451S for sequela - BILLABLE CODE

  • M84.452 for Pathological fracture, left femur - NON-BILLABLE CODE

  • Use M84.452A for initial encounter for fracture - BILLABLE CODE

  • Use M84.452D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.452G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.452K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.452P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.452S for sequela - BILLABLE CODE

  • M84.453 for Pathological fracture, unspecified femur - NON-BILLABLE CODE

  • Use M84.453A for initial encounter for fracture - BILLABLE CODE

  • Use M84.453D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.453G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.453K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.453P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.453S for sequela - BILLABLE CODE

  • M84.454 for Pathological fracture, pelvis - NON-BILLABLE CODE

  • Use M84.454A for initial encounter for fracture - BILLABLE CODE

  • Use M84.454D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.454G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.454K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.454P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.454S for sequela - BILLABLE CODE

  • M84.459 for Pathological fracture, hip, unspecified - NON-BILLABLE CODE

  • Use M84.459A for initial encounter for fracture - BILLABLE CODE

  • Use M84.459D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.459G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.459K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.459P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.459S 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


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]

Hip Injuries and Disorders

Your hip is the joint where your femur (thigh bone) meets your pelvis (hip bone). There are two main parts: a ball at the end of the femur, which fits in a socket in the pelvis. Your hip is known as a ball-and-socket joint. This is because you have a ball at the end of your femur, and it fits into a socket in your pelvis. This makes your hips very stable and allows for a wide range of motion. When they are healthy, it takes great force to hurt them. However, playing sports, running, overuse, or falling can sometimes lead to hip injuries such as:

  • Strains
  • Bursitis
  • Dislocations
  • Fractures (broken bones)

Certain diseases also lead to hip injuries or problems. Osteoarthritis can cause pain and limited motion. Osteoporosis of the hip causes weak bones that break easily. Both of these are common in older people.

Another problem is hip dysplasia, where the ball at the end of the femur is loose in the hip socket. It can cause hip dislocation. Babies who have hip dysplasia are usually born with it, but sometimes they develop it later.

Treatment for hip disorders may include rest, medicines, physical therapy, or surgery, including hip replacement.


[Learn More in MedlinePlus]

Leg Injuries and Disorders

Your legs are made up of bones, blood vessels, muscles, and other connective tissue. They are important for motion and standing. Playing sports, running, falling, or having an accident can damage your legs. Common leg injuries include sprains and strains, joint dislocations, and fractures (broken bones).

These injuries can affect the entire leg, or just the foot, ankle, knee, or hip. Certain diseases also lead to leg problems. For example, knee osteoarthritis, common in older people, can cause pain and limited motion. Problems in your veins in your legs can lead to varicose veins or deep vein thrombosis.


[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.