M84.454

M84.454: Pathological fracture, pelvis

Non-billable headerICD-10-CM

M84.454 is a non-billable header ICD-10-CM code for pathological fracture, pelvis. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from subcategory M84.4:

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

Excludes1 inherited from the categories above M84.454

A category’s note binds every code beneath it.

Written on M84.4: Pathological fracture, not elsewhere classified

collapsed vertebra NEC (M48.5)
pathological fracture in neoplastic disease (M84.5-)
pathological fracture in osteoporosis (M80.-)
pathological fracture in other disease (M84.6-)
stress fracture (M84.3-)
traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)

Excludes2 inherited from the categories above M84.454

Not part of this code, but both may be coded when both are present.

Written on M84.4: Pathological fracture, not elsewhere classified

personal history of (healed) pathological fracture (Z87.311)

Written on M84: Disorder of continuity of bone

traumatic fracture of bone-see fracture, by site

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Fracture, pathological›ilium
Fracture, pathological›ischium
Fracture, pathological›pelvis

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead M84.454

6 child codes. Green means billable.