7th Character Values: Pathological Fracture Encounter ICD-10-CM
Encounter and healing status for pathological, osteoporotic, stress and atypical femoral fractures. In FY 2027 6 categories use this set, covering 1,224 complete codes.
What Each Value Means 6 values
| Character | Meaning |
|---|---|
| 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 |
Categories That Use These Values 6 categories
| Category | Title | Chapter | Codes |
|---|---|---|---|
| M80 | Osteoporosis with current pathological fracture | Ch. 13 | 324 |
| M84.3 | Stress fracture | Ch. 13 | 228 |
| M84.4 | Pathological fracture, not elsewhere classified | Ch. 13 | 228 |
| M84.5 | Pathological fracture in neoplastic disease | Ch. 13 | 192 |
| M84.6 | Pathological fracture in other disease | Ch. 13 | 192 |
| M84.75 | Atypical femoral fracture | Ch. 13 | 60 |
Every code under these categories takes one of the values above in the seventh position, with X placeholders when the code is shorter than six characters. For example, a code under M80 ends in A for initial encounter for fracture. “Codes” counts the complete 7-character codes.
Other 7th Character Value Sets
Questions About These 7th Characters
What do the 7th characters A, D, G, K, P, S mean?
In this set: 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).
Which ICD-10-CM categories use the Pathological Fracture Encounter 7th characters?
6 categories and subcategories use them in FY 2027, covering 1,224 codes. The table above lists each one with its chapter and code count.
What if the code is shorter than six characters?
Fill the empty positions with the placeholder X so the 7th character is in the seventh position. A code that requires a 7th character is invalid without it (Sections I.A.4 and I.A.5).
Related References
Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.