M84.63
M84.63 — Pathological fracture in other disease, ulna and radius
Non-billable headerICD-10-CM
M84.63 is a non-billable header ICD-10-CM code for pathological fracture in other disease, ulna and radius. 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
M84.63 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 M84.63
5 child codes. Green means billable.
- M84.631Pathological fracture in other disease, right ulna
- M84.632Pathological fracture in other disease, left ulna
- M84.633Pathological fracture in other disease, right radius
- M84.634Pathological fracture in other disease, left radius
- M84.639Pathological fracture in other disease, unspecified ulna and radius
Related codes at this level
Codes that share M84.6. If M84.63 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
- M84.62Pathological fracture in other disease, humerus
- 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 M84.63
- Is M84.63 a billable ICD-10-CM code?
- No. M84.63 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does M84.63 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).