ICDcodes.org
FY2027

M84.454SPathological fracture, pelvis, sequela

Billable

Is M84.454S billable?

Yes — M84.454S is billable for FY2027. M84.454S is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. M84.454S may be submitted for encounters from October 1, 2026 through September 30, 2027.

M84.454S at a glance

CodeM84.454S
DescriptionPathological fracture, pelvis, sequela
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "S"sequela

What does the 7th character "S" mean in M84.454S?

In M84.454S, the 7th character S means sequela. The 7th character is required for M84.454S to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does M84.454S group to?

M84.454S sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 551Medical Back Problems with MCCmedical
  • 552Medical Back Problems without MCCmedical

How is M84.454S listed in the Alphabetic Index?

The Alphabetic Index lists these routes under M84.454, the nearest indexed parent of M84.454S. Use them to find the family, then select the specific code.

  • Fracture, pathologicalilium (pathologic)
  • Fracture, pathologicalischium (pathologic)
  • Fracture, pathologicalpelvis (pathologic)

Excludes1 — never code together — inherited from M84.4

The conditions below can never be reported together with M84.454S 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 M84.454S, but a patient may have both at the same time. When documentation supports it, M84.454S 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 M84.454S, but a patient may have both at the same time. When documentation supports it, M84.454S 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 M84.454S, but a patient may have both at the same time. When documentation supports it, M84.454S and the excluded code may both be reported.

  • personal history of (healed) pathological fracture (Z87.311)

How long has M84.454S existed?

M84.454S 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.