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

2024 ICD-10-CM Diagnosis Code M84.6

Pathological fracture in other disease

ICD-10-CM Code:
M84.6
ICD-10 Code for:
Pathological fracture in other 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)

M84.6 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 other 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 other disease

Non-specific codes like M84.6 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 other disease:

  • M84.60 for Pathological fracture in other disease, unspecified site - NON-BILLABLE CODE

  • Use M84.60XA for initial encounter for fracture - BILLABLE CODE

  • Use M84.60XD for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.60XG for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.60XK for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.60XP for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.60XS for sequela - BILLABLE CODE

  • M84.61 for Pathological fracture in other disease, shoulder - NON-BILLABLE CODE

  • M84.611 for Pathological fracture in other disease, right shoulder - NON-BILLABLE CODE

  • Use M84.611A for initial encounter for fracture - BILLABLE CODE

  • Use M84.611D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.611G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.611K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.611P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.611S for sequela - BILLABLE CODE

  • M84.612 for Pathological fracture in other disease, left shoulder - NON-BILLABLE CODE

  • Use M84.612A for initial encounter for fracture - BILLABLE CODE

  • Use M84.612D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.612G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.612K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.612P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.612S for sequela - BILLABLE CODE

  • M84.619 for Pathological fracture in other disease, unspecified shoulder - NON-BILLABLE CODE

  • Use M84.619A for initial encounter for fracture - BILLABLE CODE

  • Use M84.619D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.619G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.619K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.619P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.619S for sequela - BILLABLE CODE

  • M84.62 for Pathological fracture in other disease, humerus - NON-BILLABLE CODE

  • M84.621 for Pathological fracture in other disease, right humerus - NON-BILLABLE CODE

  • Use M84.621A for initial encounter for fracture - BILLABLE CODE

  • Use M84.621D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.621G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.621K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.621P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.621S for sequela - BILLABLE CODE

  • M84.622 for Pathological fracture in other disease, left humerus - NON-BILLABLE CODE

  • Use M84.622A for initial encounter for fracture - BILLABLE CODE

  • Use M84.622D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.622G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.622K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.622P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.622S for sequela - BILLABLE CODE

  • M84.629 for Pathological fracture in other disease, unspecified humerus - NON-BILLABLE CODE

  • Use M84.629A for initial encounter for fracture - BILLABLE CODE

  • Use M84.629D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.629G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.629K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.629P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.629S for sequela - BILLABLE CODE

  • M84.63 for Pathological fracture in other disease, ulna and radius - NON-BILLABLE CODE

  • M84.631 for Pathological fracture in other disease, right ulna - NON-BILLABLE CODE

  • Use M84.631A for initial encounter for fracture - BILLABLE CODE

  • Use M84.631D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.631G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.631K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.631P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.631S for sequela - BILLABLE CODE

  • M84.632 for Pathological fracture in other disease, left ulna - NON-BILLABLE CODE

  • Use M84.632A for initial encounter for fracture - BILLABLE CODE

  • Use M84.632D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.632G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.632K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.632P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.632S for sequela - BILLABLE CODE

  • M84.633 for Pathological fracture in other disease, right radius - NON-BILLABLE CODE

  • Use M84.633A for initial encounter for fracture - BILLABLE CODE

  • Use M84.633D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.633G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.633K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.633P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.633S for sequela - BILLABLE CODE

  • M84.634 for Pathological fracture in other disease, left radius - NON-BILLABLE CODE

  • Use M84.634A for initial encounter for fracture - BILLABLE CODE

  • Use M84.634D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.634G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.634K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.634P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.634S for sequela - BILLABLE CODE

  • M84.639 for Pathological fracture in other disease, unspecified ulna and radius - NON-BILLABLE CODE

  • Use M84.639A for initial encounter for fracture - BILLABLE CODE

  • Use M84.639D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.639G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.639K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.639P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.639S for sequela - BILLABLE CODE

  • M84.64 for Pathological fracture in other disease, hand - NON-BILLABLE CODE

  • M84.641 for Pathological fracture in other disease, right hand - NON-BILLABLE CODE

  • Use M84.641A for initial encounter for fracture - BILLABLE CODE

  • Use M84.641D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.641G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.641K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.641P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.641S for sequela - BILLABLE CODE

  • M84.642 for Pathological fracture in other disease, left hand - NON-BILLABLE CODE

  • Use M84.642A for initial encounter for fracture - BILLABLE CODE

  • Use M84.642D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.642G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.642K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.642P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.642S for sequela - BILLABLE CODE

  • M84.649 for Pathological fracture in other disease, unspecified hand - NON-BILLABLE CODE

  • Use M84.649A for initial encounter for fracture - BILLABLE CODE

  • Use M84.649D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.649G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.649K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.649P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.649S for sequela - BILLABLE CODE

  • M84.65 for Pathological fracture in other disease, pelvis and femur - NON-BILLABLE CODE

  • M84.650 for Pathological fracture in other disease, pelvis - NON-BILLABLE CODE

  • Use M84.650A for initial encounter for fracture - BILLABLE CODE

  • Use M84.650D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.650G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.650K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.650P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.650S for sequela - BILLABLE CODE

  • M84.651 for Pathological fracture in other disease, right femur - NON-BILLABLE CODE

  • Use M84.651A for initial encounter for fracture - BILLABLE CODE

  • Use M84.651D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.651G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.651K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.651P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.651S for sequela - BILLABLE CODE

  • M84.652 for Pathological fracture in other disease, left femur - NON-BILLABLE CODE

  • Use M84.652A for initial encounter for fracture - BILLABLE CODE

  • Use M84.652D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.652G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.652K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.652P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.652S for sequela - BILLABLE CODE

  • M84.653 for Pathological fracture in other disease, unspecified femur - NON-BILLABLE CODE

  • Use M84.653A for initial encounter for fracture - BILLABLE CODE

  • Use M84.653D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.653G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.653K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.653P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.653S for sequela - BILLABLE CODE

  • M84.659 for Pathological fracture in other disease, hip, unspecified - NON-BILLABLE CODE

  • Use M84.659A for initial encounter for fracture - BILLABLE CODE

  • Use M84.659D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.659G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.659K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.659P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.659S for sequela - BILLABLE CODE

  • M84.66 for Pathological fracture in other disease, tibia and fibula - NON-BILLABLE CODE

  • M84.661 for Pathological fracture in other disease, right tibia - NON-BILLABLE CODE

  • Use M84.661A for initial encounter for fracture - BILLABLE CODE

  • Use M84.661D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.661G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.661K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.661P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.661S for sequela - BILLABLE CODE

  • M84.662 for Pathological fracture in other disease, left tibia - NON-BILLABLE CODE

  • Use M84.662A for initial encounter for fracture - BILLABLE CODE

  • Use M84.662D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.662G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.662K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.662P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.662S for sequela - BILLABLE CODE

  • M84.663 for Pathological fracture in other disease, right fibula - NON-BILLABLE CODE

  • Use M84.663A for initial encounter for fracture - BILLABLE CODE

  • Use M84.663D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.663G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.663K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.663P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.663S for sequela - BILLABLE CODE

  • M84.664 for Pathological fracture in other disease, left fibula - NON-BILLABLE CODE

  • Use M84.664A for initial encounter for fracture - BILLABLE CODE

  • Use M84.664D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.664G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.664K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.664P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.664S for sequela - BILLABLE CODE

  • M84.669 for Pathological fracture in other disease, unspecified tibia and fibula - NON-BILLABLE CODE

  • Use M84.669A for initial encounter for fracture - BILLABLE CODE

  • Use M84.669D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.669G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.669K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.669P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.669S for sequela - BILLABLE CODE

  • M84.67 for Pathological fracture in other disease, ankle and foot - NON-BILLABLE CODE

  • M84.671 for Pathological fracture in other disease, right ankle - NON-BILLABLE CODE

  • Use M84.671A for initial encounter for fracture - BILLABLE CODE

  • Use M84.671D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.671G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.671K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.671P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.671S for sequela - BILLABLE CODE

  • M84.672 for Pathological fracture in other disease, left ankle - NON-BILLABLE CODE

  • Use M84.672A for initial encounter for fracture - BILLABLE CODE

  • Use M84.672D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.672G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.672K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.672P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.672S for sequela - BILLABLE CODE

  • M84.673 for Pathological fracture in other disease, unspecified ankle - NON-BILLABLE CODE

  • Use M84.673A for initial encounter for fracture - BILLABLE CODE

  • Use M84.673D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.673G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.673K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.673P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.673S for sequela - BILLABLE CODE

  • M84.674 for Pathological fracture in other disease, right foot - NON-BILLABLE CODE

  • Use M84.674A for initial encounter for fracture - BILLABLE CODE

  • Use M84.674D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.674G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.674K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.674P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.674S for sequela - BILLABLE CODE

  • M84.675 for Pathological fracture in other disease, left foot - NON-BILLABLE CODE

  • Use M84.675A for initial encounter for fracture - BILLABLE CODE

  • Use M84.675D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.675G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.675K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.675P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.675S for sequela - BILLABLE CODE

  • M84.676 for Pathological fracture in other disease, unspecified foot - NON-BILLABLE CODE

  • Use M84.676A for initial encounter for fracture - BILLABLE CODE

  • Use M84.676D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.676G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.676K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.676P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.676S for sequela - BILLABLE CODE

  • M84.68 for Pathological fracture in other disease, other site - NON-BILLABLE CODE

  • Use M84.68XA for initial encounter for fracture - BILLABLE CODE

  • Use M84.68XD for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.68XG for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.68XK for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.68XP for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.68XS 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 condition

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.
  • pathological fracture in osteoporosis M80

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 M84.6:

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.