M84.459 — Pathological fracture, hip, unspecified
Is M84.459 billable?
No — M84.459 is a non-billable header code. M84.459 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 6 billable codes beneath M84.459.
Billable codes under this header
- 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
M84.459 at a glance
| Code | M84.459 |
|---|---|
| Description | Pathological fracture, hip, unspecified |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M84.459 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M84.459. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, pathological › hip (pathologic)
Excludes1 — never code together — inherited from M84.4
The conditions below can never be reported together with M84.459 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 M84.459, but a patient may have both at the same time. When documentation supports it, M84.459 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 M84.459, but a patient may have both at the same time. When documentation supports it, M84.459 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 M84.459, but a patient may have both at the same time. When documentation supports it, M84.459 and the excluded code may both be reported.
- personal history of (healed) pathological fracture (Z87.311)
What codes fall under M84.459? (6)
- 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
How long has M84.459 existed?
M84.459 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.