M84.43 — Pathological fracture, ulna and radius
Is M84.43 billable?
No — M84.43 is a non-billable header code. M84.43 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 30 billable codes beneath M84.43.
Billable codes under this header
- M84.431APathological fracture, right ulna, initial encounter for fracture
- M84.431DPathological fracture, right ulna, subsequent encounter for fracture with routine healing
- M84.431GPathological fracture, right ulna, subsequent encounter for fracture with delayed healing
- M84.431KPathological fracture, right ulna, subsequent encounter for fracture with nonunion
- M84.431PPathological fracture, right ulna, subsequent encounter for fracture with malunion
- M84.431SPathological fracture, right ulna, sequela
- M84.432APathological fracture, left ulna, initial encounter for fracture
- M84.432DPathological fracture, left ulna, subsequent encounter for fracture with routine healing
- M84.432GPathological fracture, left ulna, subsequent encounter for fracture with delayed healing
- M84.432KPathological fracture, left ulna, subsequent encounter for fracture with nonunion
- M84.432PPathological fracture, left ulna, subsequent encounter for fracture with malunion
- M84.432SPathological fracture, left ulna, sequela
- M84.433APathological fracture, right radius, initial encounter for fracture
- M84.433DPathological fracture, right radius, subsequent encounter for fracture with routine healing
- M84.433GPathological fracture, right radius, subsequent encounter for fracture with delayed healing
- M84.433KPathological fracture, right radius, subsequent encounter for fracture with nonunion
- M84.433PPathological fracture, right radius, subsequent encounter for fracture with malunion
- M84.433SPathological fracture, right radius, sequela
- M84.434APathological fracture, left radius, initial encounter for fracture
- M84.434DPathological fracture, left radius, subsequent encounter for fracture with routine healing
- M84.434GPathological fracture, left radius, subsequent encounter for fracture with delayed healing
- M84.434KPathological fracture, left radius, subsequent encounter for fracture with nonunion
- M84.434PPathological fracture, left radius, subsequent encounter for fracture with malunion
- M84.434SPathological fracture, left radius, sequela
- M84.439APathological fracture, unspecified ulna and radius, initial encounter for fracture
- M84.439DPathological fracture, unspecified ulna and radius, subsequent encounter for fracture with routine healing
- M84.439GPathological fracture, unspecified ulna and radius, subsequent encounter for fracture with delayed healing
- M84.439KPathological fracture, unspecified ulna and radius, subsequent encounter for fracture with nonunion
- M84.439PPathological fracture, unspecified ulna and radius, subsequent encounter for fracture with malunion
- M84.439SPathological fracture, unspecified ulna and radius, sequela
M84.43 at a glance
| Code | M84.43 |
|---|---|
| Description | Pathological fracture, ulna and radius |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M84.43 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M84.43. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, pathological › radius (pathologic)
- Fracture, pathological › ulna (pathologic)
Excludes1 — never code together — inherited from M84.4
The conditions below can never be reported together with M84.43 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M84.43, but a patient may have both at the same time. When documentation supports it, M84.43 and the excluded code may both be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from M84
The conditions below are not part of M84.43, but a patient may have both at the same time. When documentation supports it, M84.43 and the excluded code may both be reported.
- traumatic fracture of bone-see fracture, by site
Excludes2 — not included here — inherited from M84.4
The conditions below are not part of M84.43, but a patient may have both at the same time. When documentation supports it, M84.43 and the excluded code may both be reported.
- personal history of (healed) pathological fracture (Z87.311)
What codes fall under M84.43? (5)
How long has M84.43 existed?
M84.43 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the M84.4 family? (8)
- M84.40Pathological fracture, unspecified sitenot billable
- M84.41Pathological fracture, shouldernot billable
- M84.42Pathological fracture, humerusnot billable
- M84.44Pathological fracture, hand and fingersnot billable
- M84.45Pathological fracture, femur and pelvisnot billable
- M84.46Pathological fracture, tibia and fibulanot billable
- M84.47Pathological fracture, ankle, foot and toesnot billable
- M84.48Pathological fracture, other sitenot billable