M84.62
M84.62 — Pathological fracture in other disease, humerus
Non-billable headerICD-10-CM
M84.62 is a non-billable header ICD-10-CM code for pathological fracture in other disease, humerus. 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
Risk adjustment
M84.62 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 M84.62
3 child codes. Green means billable.
Related codes at this level
Codes that share M84.6. If M84.62 is not quite right, the correct code is usually one of these.
- M84.60Pathological fracture in other disease, unspecified site
- M84.61Pathological fracture in other disease, shoulder
- 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
Questions about M84.62
- Is M84.62 a billable ICD-10-CM code?
- No. M84.62 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M84.62 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).