ICD-10-CM Code M84.511A

Pathological fracture in neoplastic disease, right shoulder, initial encounter for fracture

Version 2020 Billable Code

Valid for Submission

M84.511A is a billable code used to specify a medical diagnosis of pathological fracture in neoplastic disease, right shoulder, initial encounter for fracture. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code M84.511A might also be used to specify conditions or terms like neoplasm of right clavicle, neoplasm of right scapula, pathological fracture of clavicle, pathological fracture of clavicle due to neoplastic disease, pathological fracture of right clavicle, pathological fracture of right clavicle due to neoplastic disease, etc

ICD-10:M84.511A
Short Description:Path fracture in neoplastic disease, r shoulder, init
Long Description:Pathological fracture in neoplastic disease, right shoulder, initial encounter for fracture

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Neoplasm of right clavicle
  • Neoplasm of right scapula
  • Pathological fracture of clavicle
  • Pathological fracture of clavicle due to neoplastic disease
  • Pathological fracture of right clavicle
  • Pathological fracture of right clavicle due to neoplastic disease
  • Pathological fracture of right scapula
  • Pathological fracture of right scapula due to neoplastic disease
  • Pathological fracture of scapula
  • Pathological fracture of scapula due to neoplastic disease

Diagnostic Related Groups

The ICD-10 code M84.511A is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 542 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC
  • 543 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC
  • 544 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC

Convert M84.511A to ICD-9

  • 733.19 - Path fx oth specif site (Approximate Flag)

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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