2026 ICD-10-CM Diagnosis Code M84.542DPathological fracture in neoplastic disease, left hand, subsequent encounter for fracture with routine healing

ICD-10-CM Codes›M00–M99›M80-M85›M84

ICD-10-CM M84.542D
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M84.542D is a billable ICD-10-CM diagnosis code for pathological fracture in neoplastic disease, left hand, subsequent encounter for fracture with routine healing. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. 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 neoplasm of bone of left hand. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Pathological fracture, subsequent encounter.

Code Identity

ICD-10-CM Code
M84.542D
Billable Status
Yes — Valid for Submission
Code Describes
Pathological fracture in neoplastic disease, left hand, subsequent encounter for fracture with routine healing
Short Description
Path fx in neopltc disease, l hand, subs for fx w routn heal
Parent Code
M84.542
Pathological fracture in neoplastic disease, left hand

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM80-M85Disorders of bone density and structure
CategoryM84Disorder of continuity of bone
This CodeM84.542DPathological fracture in neoplastic disease, left hand, subsequent encounter for fracture with routine healing

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Neoplasm of bone of left hand
  • Pathologic fracture of bone of hand at site of neoplasm
  • Pathological fracture - hand
  • Pathological fracture of bone of left hand at site of neoplasm
  • Pathological fracture of left hand

Clinical ClassificationClinical

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

CCSR MUS015
Pathological fracture, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Fractures

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

The full article covers:

  • What is a fracture?
  • What are the different types of fractures?
  • What causes fractures?
  • What are the symptoms of a fracture?
  • How are fractures diagnosed?
  • What are the treatments for fractures?
  • Can fractures be prevented?

Read the full article at MedlinePlus

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

Convert M84.542D to ICD-9-CMHistory

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

ICD-9-CM
V54.22 Aftrcare path fx low arm
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 M84.542DOverview

Is M84.542D (Pathological fracture in neoplastic disease, left hand) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report pathological fracture in neoplastic disease, left hand, subsequent encounter for fracture with routine healing on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character D in M84.542D mean?

The final character D marks a subsequent encounter: use it for routine care while the pathological fracture in neoplastic disease, left hand is healing, after active treatment has ended.

What MS-DRG does M84.542D group to?

When pathological fracture in neoplastic disease, left hand, subsequent encounter for fracture with routine healing 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 M84.542D?

Under the General Equivalence Mappings, pathological fracture in neoplastic disease, left hand, subsequent encounter for fracture with routine healing converts to ICD-9-CM V54.22 (aftrcare path fx low arm). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.