ICD-10-CM Code M84.6

Pathological fracture in other disease

Version 2020 Non-Billable Code

Not Valid for Submission

M84.6 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 in other disease. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:M84.6
Short Description:Pathological fracture in other disease
Long Description:Pathological fracture in other disease

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

  • M84.60 - ... unspecified site
  • M84.60XA - ... unspecified site, initial encounter for fracture
  • M84.60XD - ... unspecified site, subsequent encounter for fracture with routine healing
  • M84.60XG - ... unspecified site, subsequent encounter for fracture with delayed healing
  • M84.60XK - ... unspecified site, subsequent encounter for fracture with nonunion
  • M84.60XP - ... unspecified site, subsequent encounter for fracture with malunion
  • M84.60XS - ... unspecified site, sequela
  • M84.61 - ... shoulder
  • M84.611 - ... right shoulder
  • M84.611A - ... right shoulder, initial encounter for fracture
  • M84.611D - ... right shoulder, subsequent encounter for fracture with routine healing
  • M84.611G - ... right shoulder, subsequent encounter for fracture with delayed healing
  • M84.611K - ... right shoulder, subsequent encounter for fracture with nonunion
  • M84.611P - ... right shoulder, subsequent encounter for fracture with malunion
  • M84.611S - ... right shoulder, sequela
  • M84.612 - ... left shoulder
  • M84.612A - ... left shoulder, initial encounter for fracture
  • M84.612D - ... left shoulder, subsequent encounter for fracture with routine healing
  • M84.612G - ... left shoulder, subsequent encounter for fracture with delayed healing
  • M84.612K - ... left shoulder, subsequent encounter for fracture with nonunion
  • M84.612P - ... left shoulder, subsequent encounter for fracture with malunion
  • M84.612S - ... left shoulder, sequela
  • M84.619 - ... unspecified shoulder
  • M84.619A - ... unspecified shoulder, initial encounter for fracture
  • M84.619D - ... unspecified shoulder, subsequent encounter for fracture with routine healing
  • M84.619G - ... unspecified shoulder, subsequent encounter for fracture with delayed healing
  • M84.619K - ... unspecified shoulder, subsequent encounter for fracture with nonunion
  • M84.619P - ... unspecified shoulder, subsequent encounter for fracture with malunion
  • M84.619S - ... unspecified shoulder, sequela
  • M84.62 - ... humerus
  • M84.621 - ... right humerus
  • M84.621A - ... right humerus, initial encounter for fracture
  • M84.621D - ... right humerus, subsequent encounter for fracture with routine healing
  • M84.621G - ... right humerus, subsequent encounter for fracture with delayed healing
  • M84.621K - ... right humerus, subsequent encounter for fracture with nonunion
  • M84.621P - ... right humerus, subsequent encounter for fracture with malunion
  • M84.621S - ... right humerus, sequela
  • M84.622 - ... left humerus
  • M84.622A - ... left humerus, initial encounter for fracture
  • M84.622D - ... left humerus, subsequent encounter for fracture with routine healing
  • M84.622G - ... left humerus, subsequent encounter for fracture with delayed healing
  • M84.622K - ... left humerus, subsequent encounter for fracture with nonunion
  • M84.622P - ... left humerus, subsequent encounter for fracture with malunion
  • M84.622S - ... left humerus, sequela
  • M84.629 - ... unspecified humerus
  • M84.629A - ... unspecified humerus, initial encounter for fracture
  • M84.629D - ... unspecified humerus, subsequent encounter for fracture with routine healing
  • M84.629G - ... unspecified humerus, subsequent encounter for fracture with delayed healing
  • M84.629K - ... unspecified humerus, subsequent encounter for fracture with nonunion
  • M84.629P - ... unspecified humerus, subsequent encounter for fracture with malunion
  • M84.629S - ... unspecified humerus, sequela
  • M84.63 - ... ulna and radius
  • M84.631 - ... right ulna
  • M84.631A - ... right ulna, initial encounter for fracture
  • M84.631D - ... right ulna, subsequent encounter for fracture with routine healing
  • M84.631G - ... right ulna, subsequent encounter for fracture with delayed healing
  • M84.631K - ... right ulna, subsequent encounter for fracture with nonunion
  • M84.631P - ... right ulna, subsequent encounter for fracture with malunion
  • M84.631S - ... right ulna, sequela
  • M84.632 - ... left ulna
  • M84.632A - ... left ulna, initial encounter for fracture
  • M84.632D - ... left ulna, subsequent encounter for fracture with routine healing
  • M84.632G - ... left ulna, subsequent encounter for fracture with delayed healing
  • M84.632K - ... left ulna, subsequent encounter for fracture with nonunion
  • M84.632P - ... left ulna, subsequent encounter for fracture with malunion
  • M84.632S - ... left ulna, sequela
  • M84.633 - ... right radius
  • M84.633A - ... right radius, initial encounter for fracture
  • M84.633D - ... right radius, subsequent encounter for fracture with routine healing
  • M84.633G - ... right radius, subsequent encounter for fracture with delayed healing
  • M84.633K - ... right radius, subsequent encounter for fracture with nonunion
  • M84.633P - ... right radius, subsequent encounter for fracture with malunion
  • M84.633S - ... right radius, sequela
  • M84.634 - ... left radius
  • M84.634A - ... left radius, initial encounter for fracture
  • M84.634D - ... left radius, subsequent encounter for fracture with routine healing
  • M84.634G - ... left radius, subsequent encounter for fracture with delayed healing
  • M84.634K - ... left radius, subsequent encounter for fracture with nonunion
  • M84.634P - ... left radius, subsequent encounter for fracture with malunion
  • M84.634S - ... left radius, sequela
  • M84.639 - ... unspecified ulna and radius
  • M84.639A - ... unspecified ulna and radius, initial encounter for fracture
  • M84.639D - ... unspecified ulna and radius, subsequent encounter for fracture with routine healing
  • M84.639G - ... unspecified ulna and radius, subsequent encounter for fracture with delayed healing
  • M84.639K - ... unspecified ulna and radius, subsequent encounter for fracture with nonunion
  • M84.639P - ... unspecified ulna and radius, subsequent encounter for fracture with malunion
  • M84.639S - ... unspecified ulna and radius, sequela
  • M84.64 - ... hand
  • M84.641 - ... right hand
  • M84.641A - ... right hand, initial encounter for fracture
  • M84.641D - ... right hand, subsequent encounter for fracture with routine healing
  • M84.641G - ... right hand, subsequent encounter for fracture with delayed healing
  • M84.641K - ... right hand, subsequent encounter for fracture with nonunion
  • M84.641P - ... right hand, subsequent encounter for fracture with malunion
  • M84.641S - ... right hand, sequela
  • M84.642 - ... left hand
  • M84.642A - ... left hand, initial encounter for fracture
  • M84.642D - ... left hand, subsequent encounter for fracture with routine healing
  • M84.642G - ... left hand, subsequent encounter for fracture with delayed healing
  • M84.642K - ... left hand, subsequent encounter for fracture with nonunion
  • M84.642P - ... left hand, subsequent encounter for fracture with malunion
  • M84.642S - ... left hand, sequela
  • M84.649 - ... unspecified hand
  • M84.649A - ... unspecified hand, initial encounter for fracture
  • M84.649D - ... unspecified hand, subsequent encounter for fracture with routine healing
  • M84.649G - ... unspecified hand, subsequent encounter for fracture with delayed healing
  • M84.649K - ... unspecified hand, subsequent encounter for fracture with nonunion
  • M84.649P - ... unspecified hand, subsequent encounter for fracture with malunion
  • M84.649S - ... unspecified hand, sequela
  • M84.65 - ... pelvis and femur
  • M84.650 - ... pelvis
  • M84.650A - ... pelvis, initial encounter for fracture
  • M84.650D - ... pelvis, subsequent encounter for fracture with routine healing
  • M84.650G - ... pelvis, subsequent encounter for fracture with delayed healing
  • M84.650K - ... pelvis, subsequent encounter for fracture with nonunion
  • M84.650P - ... pelvis, subsequent encounter for fracture with malunion
  • M84.650S - ... pelvis, sequela
  • M84.651 - ... right femur
  • M84.651A - ... right femur, initial encounter for fracture
  • M84.651D - ... right femur, subsequent encounter for fracture with routine healing
  • M84.651G - ... right femur, subsequent encounter for fracture with delayed healing
  • M84.651K - ... right femur, subsequent encounter for fracture with nonunion
  • M84.651P - ... right femur, subsequent encounter for fracture with malunion
  • M84.651S - ... right femur, sequela
  • M84.652 - ... left femur
  • M84.652A - ... left femur, initial encounter for fracture
  • M84.652D - ... left femur, subsequent encounter for fracture with routine healing
  • M84.652G - ... left femur, subsequent encounter for fracture with delayed healing
  • M84.652K - ... left femur, subsequent encounter for fracture with nonunion
  • M84.652P - ... left femur, subsequent encounter for fracture with malunion
  • M84.652S - ... left femur, sequela
  • M84.653 - ... unspecified femur
  • M84.653A - ... unspecified femur, initial encounter for fracture
  • M84.653D - ... unspecified femur, subsequent encounter for fracture with routine healing
  • M84.653G - ... unspecified femur, subsequent encounter for fracture with delayed healing
  • M84.653K - ... unspecified femur, subsequent encounter for fracture with nonunion
  • M84.653P - ... unspecified femur, subsequent encounter for fracture with malunion
  • M84.653S - ... unspecified femur, sequela
  • M84.659 - ... hip, unspecified
  • M84.659A - ... hip, unspecified, initial encounter for fracture
  • M84.659D - ... hip, unspecified, subsequent encounter for fracture with routine healing
  • M84.659G - ... hip, unspecified, subsequent encounter for fracture with delayed healing
  • M84.659K - ... hip, unspecified, subsequent encounter for fracture with nonunion
  • M84.659P - ... hip, unspecified, subsequent encounter for fracture with malunion
  • M84.659S - ... hip, unspecified, sequela
  • M84.66 - ... tibia and fibula
  • M84.661 - ... right tibia
  • M84.661A - ... right tibia, initial encounter for fracture
  • M84.661D - ... right tibia, subsequent encounter for fracture with routine healing
  • M84.661G - ... right tibia, subsequent encounter for fracture with delayed healing
  • M84.661K - ... right tibia, subsequent encounter for fracture with nonunion
  • M84.661P - ... right tibia, subsequent encounter for fracture with malunion
  • M84.661S - ... right tibia, sequela
  • M84.662 - ... left tibia
  • M84.662A - ... left tibia, initial encounter for fracture
  • M84.662D - ... left tibia, subsequent encounter for fracture with routine healing
  • M84.662G - ... left tibia, subsequent encounter for fracture with delayed healing
  • M84.662K - ... left tibia, subsequent encounter for fracture with nonunion
  • M84.662P - ... left tibia, subsequent encounter for fracture with malunion
  • M84.662S - ... left tibia, sequela
  • M84.663 - ... right fibula
  • M84.663A - ... right fibula, initial encounter for fracture
  • M84.663D - ... right fibula, subsequent encounter for fracture with routine healing
  • M84.663G - ... right fibula, subsequent encounter for fracture with delayed healing
  • M84.663K - ... right fibula, subsequent encounter for fracture with nonunion
  • M84.663P - ... right fibula, subsequent encounter for fracture with malunion
  • M84.663S - ... right fibula, sequela
  • M84.664 - ... left fibula
  • M84.664A - ... left fibula, initial encounter for fracture
  • M84.664D - ... left fibula, subsequent encounter for fracture with routine healing
  • M84.664G - ... left fibula, subsequent encounter for fracture with delayed healing
  • M84.664K - ... left fibula, subsequent encounter for fracture with nonunion
  • M84.664P - ... left fibula, subsequent encounter for fracture with malunion
  • M84.664S - ... left fibula, sequela
  • M84.669 - ... unspecified tibia and fibula
  • M84.669A - ... unspecified tibia and fibula, initial encounter for fracture
  • M84.669D - ... unspecified tibia and fibula, subsequent encounter for fracture with routine healing
  • M84.669G - ... unspecified tibia and fibula, subsequent encounter for fracture with delayed healing
  • M84.669K - ... unspecified tibia and fibula, subsequent encounter for fracture with nonunion
  • M84.669P - ... unspecified tibia and fibula, subsequent encounter for fracture with malunion
  • M84.669S - ... unspecified tibia and fibula, sequela
  • M84.67 - ... ankle and foot
  • M84.671 - ... right ankle
  • M84.671A - ... right ankle, initial encounter for fracture
  • M84.671D - ... right ankle, subsequent encounter for fracture with routine healing
  • M84.671G - ... right ankle, subsequent encounter for fracture with delayed healing
  • M84.671K - ... right ankle, subsequent encounter for fracture with nonunion
  • M84.671P - ... right ankle, subsequent encounter for fracture with malunion
  • M84.671S - ... right ankle, sequela
  • M84.672 - ... left ankle
  • M84.672A - ... left ankle, initial encounter for fracture
  • M84.672D - ... left ankle, subsequent encounter for fracture with routine healing
  • M84.672G - ... left ankle, subsequent encounter for fracture with delayed healing
  • M84.672K - ... left ankle, subsequent encounter for fracture with nonunion
  • M84.672P - ... left ankle, subsequent encounter for fracture with malunion
  • M84.672S - ... left ankle, sequela
  • M84.673 - ... unspecified ankle
  • M84.673A - ... unspecified ankle, initial encounter for fracture
  • M84.673D - ... unspecified ankle, subsequent encounter for fracture with routine healing
  • M84.673G - ... unspecified ankle, subsequent encounter for fracture with delayed healing
  • M84.673K - ... unspecified ankle, subsequent encounter for fracture with nonunion
  • M84.673P - ... unspecified ankle, subsequent encounter for fracture with malunion
  • M84.673S - ... unspecified ankle, sequela
  • M84.674 - ... right foot
  • M84.674A - ... right foot, initial encounter for fracture
  • M84.674D - ... right foot, subsequent encounter for fracture with routine healing
  • M84.674G - ... right foot, subsequent encounter for fracture with delayed healing
  • M84.674K - ... right foot, subsequent encounter for fracture with nonunion
  • M84.674P - ... right foot, subsequent encounter for fracture with malunion
  • M84.674S - ... right foot, sequela
  • M84.675 - ... left foot
  • M84.675A - ... left foot, initial encounter for fracture
  • M84.675D - ... left foot, subsequent encounter for fracture with routine healing
  • M84.675G - ... left foot, subsequent encounter for fracture with delayed healing
  • M84.675K - ... left foot, subsequent encounter for fracture with nonunion
  • M84.675P - ... left foot, subsequent encounter for fracture with malunion
  • M84.675S - ... left foot, sequela
  • M84.676 - ... unspecified foot
  • M84.676A - ... unspecified foot, initial encounter for fracture
  • M84.676D - ... unspecified foot, subsequent encounter for fracture with routine healing
  • M84.676G - ... unspecified foot, subsequent encounter for fracture with delayed healing
  • M84.676K - ... unspecified foot, subsequent encounter for fracture with nonunion
  • M84.676P - ... unspecified foot, subsequent encounter for fracture with malunion
  • M84.676S - ... unspecified foot, sequela
  • M84.68 - ... other site
  • M84.68XA - ... other site, initial encounter for fracture
  • M84.68XD - ... other site, subsequent encounter for fracture with routine healing
  • M84.68XG - ... other site, subsequent encounter for fracture with delayed healing
  • M84.68XK - ... other site, subsequent encounter for fracture with nonunion
  • M84.68XP - ... other site, subsequent encounter for fracture with malunion
  • M84.68XS - ... 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 M84.6:

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

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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