M84.759K

M84.759K: Complete oblique atypical femoral fracture, unspecified leg, subsequent encounter for fracture with nonunion

Billable / specific codeICD-10-CMPOA exemptunspecified

M84.759K is a billable, specific ICD-10-CM code for complete oblique atypical femoral fracture, unspecified leg, subsequent encounter for fracture with nonunion. It is valid for submission on a claim.

Check M84.759K with the rest of the claim: free scrubber

7th character "K": subsequent encounter for fracture with nonunion

The appropriate 7th character is to be added to each code from M84.75:

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

Excludes2 inherited from the categories above M84.759K

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.

Medicare coverage

M84.759K is named in 8 Medicare coverage policies: 1 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered

Code history

Unchanged in every release from FY2024 to FY2027.