M84.60

M84.60: Pathological fracture in other disease, unspecified site

Non-billable headerICD-10-CM

M84.60 is a non-billable header ICD-10-CM code for pathological fracture in other disease, unspecified site. 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 M84.6:

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 M84.60

A category’s note binds every code beneath it.

Written on M84.6: Pathological fracture in other disease

pathological fracture in osteoporosis (M80.-)

Excludes2 inherited from the categories above M84.60

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

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›due to›specified disease NEC

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead M84.60

6 child codes. Green means billable.