2026 ICD-10-CM Diagnosis Code M84.476SPathological fracture, unspecified foot, sequela

ICD-10-CM Codes›M00–M99›M80-M85›M84

ICD-10-CM M84.476S
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M84.476S is a billable ICD-10-CM diagnosis code for pathological fracture, unspecified foot, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 559 through 561. Coders also document this condition as pathological fracture - ankle and/or foot. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Pathological, stress and atypical fractures, sequela.

Code Identity

ICD-10-CM Code
M84.476S
Billable Status
Yes — Valid for Submission
Code Describes
Pathological fracture, unspecified foot, sequela
Short Description
Pathological fracture, unspecified foot, sequela
Same as the full description in the CMS dataset.
Parent Code
M84.476
Pathological fracture, unspecified foot

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM80-M85Disorders of bone density and structure
CategoryM84Disorder of continuity of bone
This CodeM84.476SPathological fracture, unspecified foot, sequela

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Pathological fracture - ankle and/or foot
  • Pathological fracture of foot

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MUS020
Pathological, stress and atypical fractures, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Foot Injuries and Disorders

Each of your feet has 26 bones, 33 joints, and more than 100 tendons, muscles, and ligaments. No wonder a lot of things can go wrong. Here are a few common problems:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M84.476S to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
905.4 Late effect leg fx
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About M84.476SOverview

Is M84.476S (Pathological fracture, unspecified foot) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report pathological fracture, unspecified foot, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in M84.476S mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the pathological fracture, unspecified foot itself has resolved, not the original event.

What MS-DRG does M84.476S group to?

When pathological fracture, unspecified foot, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 559, 560, 561, with relative weights from 0.8039 to 1.8649 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of M84.476S?

Under the General Equivalence Mappings, pathological fracture, unspecified foot, sequela converts to ICD-9-CM 905.4 (late effect leg fx). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.