M84.45 — Pathological fracture, femur and pelvis
Is M84.45 billable?
No — M84.45 is a non-billable header code. M84.45 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 M84.45.
Billable codes under this header
- M84.451APathological fracture, right femur, initial encounter for fracture
- M84.451DPathological fracture, right femur, subsequent encounter for fracture with routine healing
- M84.451GPathological fracture, right femur, subsequent encounter for fracture with delayed healing
- M84.451KPathological fracture, right femur, subsequent encounter for fracture with nonunion
- M84.451PPathological fracture, right femur, subsequent encounter for fracture with malunion
- M84.451SPathological fracture, right femur, sequela
- M84.452APathological fracture, left femur, initial encounter for fracture
- M84.452DPathological fracture, left femur, subsequent encounter for fracture with routine healing
- M84.452GPathological fracture, left femur, subsequent encounter for fracture with delayed healing
- M84.452KPathological fracture, left femur, subsequent encounter for fracture with nonunion
- M84.452PPathological fracture, left femur, subsequent encounter for fracture with malunion
- M84.452SPathological fracture, left femur, sequela
- M84.453APathological fracture, unspecified femur, initial encounter for fracture
- M84.453DPathological fracture, unspecified femur, subsequent encounter for fracture with routine healing
- M84.453GPathological fracture, unspecified femur, subsequent encounter for fracture with delayed healing
- M84.453KPathological fracture, unspecified femur, subsequent encounter for fracture with nonunion
- M84.453PPathological fracture, unspecified femur, subsequent encounter for fracture with malunion
- M84.453SPathological fracture, unspecified femur, sequela
- M84.454APathological fracture, pelvis, initial encounter for fracture
- M84.454DPathological fracture, pelvis, subsequent encounter for fracture with routine healing
- M84.454GPathological fracture, pelvis, subsequent encounter for fracture with delayed healing
- M84.454KPathological fracture, pelvis, subsequent encounter for fracture with nonunion
- M84.454PPathological fracture, pelvis, subsequent encounter for fracture with malunion
- M84.454SPathological fracture, pelvis, sequela
- M84.459APathological fracture, hip, unspecified, initial encounter for fracture
- M84.459DPathological fracture, hip, unspecified, subsequent encounter for fracture with routine healing
- M84.459GPathological fracture, hip, unspecified, subsequent encounter for fracture with delayed healing
- M84.459KPathological fracture, hip, unspecified, subsequent encounter for fracture with nonunion
- M84.459PPathological fracture, hip, unspecified, subsequent encounter for fracture with malunion
- M84.459SPathological fracture, hip, unspecified, sequela
M84.45 at a glance
| Code | M84.45 |
|---|---|
| Description | Pathological fracture, femur and pelvis |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M84.45 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M84.45. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, pathological › femur (pathologic)
Excludes1 — never code together — inherited from M84.4
The conditions below can never be reported together with M84.45 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 M84.45, but a patient may have both at the same time. When documentation supports it, M84.45 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 M84.45, but a patient may have both at the same time. When documentation supports it, M84.45 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 M84.45, but a patient may have both at the same time. When documentation supports it, M84.45 and the excluded code may both be reported.
- personal history of (healed) pathological fracture (Z87.311)
What codes fall under M84.45? (5)
How long has M84.45 existed?
M84.45 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
- M84.43Pathological fracture, ulna and radiusnot billable
- M84.44Pathological fracture, hand and fingersnot billable
- M84.46Pathological fracture, tibia and fibulanot billable
- M84.47Pathological fracture, ankle, foot and toesnot billable
- M84.48Pathological fracture, other sitenot billable