M84.61
M84.61: Pathological fracture in other disease, shoulder
Non-billable headerICD-10-CM
M84.61 is a non-billable header ICD-10-CM code for pathological fracture in other disease, shoulder. 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 M84.61
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above M84.61
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.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead M84.61
3 child codes. Green means billable.
Other codes under M84.6
- M84.60Pathological fracture in other disease, unspecified site
- M84.62Pathological fracture in other disease, humerus
- M84.63Pathological fracture in other disease, ulna and radius
- M84.64Pathological fracture in other disease, hand
- M84.65Pathological fracture in other disease, pelvis and femur
- M84.66Pathological fracture in other disease, tibia and fibula
- M84.67Pathological fracture in other disease, ankle and foot
- M84.68Pathological fracture in other disease, other site