M84.68
M84.68: Pathological fracture in other disease, other site
Non-billable headerICD-10-CM
M84.68 is a non-billable header ICD-10-CM code for pathological fracture in other disease, other 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 M84.68
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above M84.68
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
Other codes that can never be billed with M84.68
Their own Excludes1 notes name this code, so the conflict is not listed above.
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›neck
- Fracture, pathological›due to›specified disease NEC›rib
- Fracture, pathological›due to›specified disease NEC›skull
- Fracture, pathological›due to›specified disease NEC›vertebra
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead M84.68
6 child codes. Green means billable.
- M84.68XAPathological fracture in other disease, other site, initial encounter for fracture
- M84.68XDPathological fracture in other disease, other site, subsequent encounter for fracture with routine healing
- M84.68XGPathological fracture in other disease, other site, subsequent encounter for fracture with delayed healing
- M84.68XKPathological fracture in other disease, other site, subsequent encounter for fracture with nonunion
- M84.68XPPathological fracture in other disease, other site, subsequent encounter for fracture with malunion
- M84.68XSPathological fracture in other disease, other site, sequela
Other codes under M84.6
- M84.60Pathological fracture in other disease, unspecified site
- M84.61Pathological fracture in other disease, shoulder
- 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