M84.574 — Pathological fracture in neoplastic disease, right foot
M84.574 is a non-billable header ICD-10-CM code for pathological fracture in neoplastic disease, right foot. 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
Excludes2 inherited from the categories above M84.574
Also inherited, and the opposite of Excludes1: these conditions are not part of M84.574, but a patient can have both, so you may code both.
Written on M84 — Disorder of continuity of bone
- traumatic fracture of bone-see fracture, by site
Risk adjustment
M84.574 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 history
M84.574 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead M84.574
6 child codes. Green means billable.
- M84.574APathological fracture in neoplastic disease, right foot, initial encounter for fracture
- M84.574DPathological fracture in neoplastic disease, right foot, subsequent encounter for fracture with routine healing
- M84.574GPathological fracture in neoplastic disease, right foot, subsequent encounter for fracture with delayed healing
- M84.574KPathological fracture in neoplastic disease, right foot, subsequent encounter for fracture with nonunion
- M84.574PPathological fracture in neoplastic disease, right foot, subsequent encounter for fracture with malunion
- M84.574SPathological fracture in neoplastic disease, right foot, sequela
Related codes at this level
Codes that share M84.57. If M84.574 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
- M84.573Pathological fracture in neoplastic disease, unspecified ankle
- M84.575Pathological fracture in neoplastic disease, left foot
- M84.576Pathological fracture in neoplastic disease, unspecified foot
Questions about M84.574
- Is M84.574 a billable ICD-10-CM code?
- No. M84.574 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M84.574 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).