M84.573
M84.573 — Pathological fracture in neoplastic disease, unspecified ankle
Non-billable headerICD-10-CMunspecified
M84.573 is a non-billable header ICD-10-CM code for pathological fracture in neoplastic disease, unspecified ankle. 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 M84.5:
- 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
Risk adjustment
M84.573 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead M84.573
6 child codes. Green means billable.
- M84.573APathological fracture in neoplastic disease, unspecified ankle, initial encounter for fracture
- M84.573DPathological fracture in neoplastic disease, unspecified ankle, subsequent encounter for fracture with routine healing
- M84.573GPathological fracture in neoplastic disease, unspecified ankle, subsequent encounter for fracture with delayed healing
- M84.573KPathological fracture in neoplastic disease, unspecified ankle, subsequent encounter for fracture with nonunion
- M84.573PPathological fracture in neoplastic disease, unspecified ankle, subsequent encounter for fracture with malunion
- M84.573SPathological fracture in neoplastic disease, unspecified ankle, sequela
Related codes at this level
Codes that share M84.57. If M84.573 is not quite right, the correct code is usually one of these.
- M84.571Pathological fracture in neoplastic disease, right ankle
- M84.572Pathological fracture in neoplastic disease, left ankle
- M84.574Pathological fracture in neoplastic disease, right foot
- M84.575Pathological fracture in neoplastic disease, left foot
- M84.576Pathological fracture in neoplastic disease, unspecified foot
Questions about M84.573
- Is M84.573 a billable ICD-10-CM code?
- No. M84.573 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M84.573 sit in the tabular list?
- Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Disorders of bone density and structure (M80-M85).