M84.47 — Pathological fracture, ankle, foot and toes
Is M84.47 billable?
No — M84.47 is a non-billable header code. M84.47 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 54 billable codes beneath M84.47.
Billable codes under this header
- M84.471APathological fracture, right ankle, initial encounter for fracture
- M84.471DPathological fracture, right ankle, subsequent encounter for fracture with routine healing
- M84.471GPathological fracture, right ankle, subsequent encounter for fracture with delayed healing
- M84.471KPathological fracture, right ankle, subsequent encounter for fracture with nonunion
- M84.471PPathological fracture, right ankle, subsequent encounter for fracture with malunion
- M84.471SPathological fracture, right ankle, sequela
- M84.472APathological fracture, left ankle, initial encounter for fracture
- M84.472DPathological fracture, left ankle, subsequent encounter for fracture with routine healing
- M84.472GPathological fracture, left ankle, subsequent encounter for fracture with delayed healing
- M84.472KPathological fracture, left ankle, subsequent encounter for fracture with nonunion
- M84.472PPathological fracture, left ankle, subsequent encounter for fracture with malunion
- M84.472SPathological fracture, left ankle, sequela
- M84.473APathological fracture, unspecified ankle, initial encounter for fracture
- M84.473DPathological fracture, unspecified ankle, subsequent encounter for fracture with routine healing
- M84.473GPathological fracture, unspecified ankle, subsequent encounter for fracture with delayed healing
- M84.473KPathological fracture, unspecified ankle, subsequent encounter for fracture with nonunion
- M84.473PPathological fracture, unspecified ankle, subsequent encounter for fracture with malunion
- M84.473SPathological fracture, unspecified ankle, sequela
- M84.474APathological fracture, right foot, initial encounter for fracture
- M84.474DPathological fracture, right foot, subsequent encounter for fracture with routine healing
- M84.474GPathological fracture, right foot, subsequent encounter for fracture with delayed healing
- M84.474KPathological fracture, right foot, subsequent encounter for fracture with nonunion
- M84.474PPathological fracture, right foot, subsequent encounter for fracture with malunion
- M84.474SPathological fracture, right foot, sequela
- M84.475APathological fracture, left foot, initial encounter for fracture
- M84.475DPathological fracture, left foot, subsequent encounter for fracture with routine healing
- M84.475GPathological fracture, left foot, subsequent encounter for fracture with delayed healing
- M84.475KPathological fracture, left foot, subsequent encounter for fracture with nonunion
- M84.475PPathological fracture, left foot, subsequent encounter for fracture with malunion
- M84.475SPathological fracture, left foot, sequela
- M84.476APathological fracture, unspecified foot, initial encounter for fracture
- M84.476DPathological fracture, unspecified foot, subsequent encounter for fracture with routine healing
- M84.476GPathological fracture, unspecified foot, subsequent encounter for fracture with delayed healing
- M84.476KPathological fracture, unspecified foot, subsequent encounter for fracture with nonunion
- M84.476PPathological fracture, unspecified foot, subsequent encounter for fracture with malunion
- M84.476SPathological fracture, unspecified foot, sequela
- M84.477APathological fracture, right toe(s), initial encounter for fracture
- M84.477DPathological fracture, right toe(s), subsequent encounter for fracture with routine healing
- M84.477GPathological fracture, right toe(s), subsequent encounter for fracture with delayed healing
- M84.477KPathological fracture, right toe(s), subsequent encounter for fracture with nonunion
- M84.477PPathological fracture, right toe(s), subsequent encounter for fracture with malunion
- M84.477SPathological fracture, right toe(s), sequela
- M84.478APathological fracture, left toe(s), initial encounter for fracture
- M84.478DPathological fracture, left toe(s), subsequent encounter for fracture with routine healing
- M84.478GPathological fracture, left toe(s), subsequent encounter for fracture with delayed healing
- M84.478KPathological fracture, left toe(s), subsequent encounter for fracture with nonunion
- M84.478PPathological fracture, left toe(s), subsequent encounter for fracture with malunion
- M84.478SPathological fracture, left toe(s), sequela
- M84.479APathological fracture, unspecified toe(s), initial encounter for fracture
- M84.479DPathological fracture, unspecified toe(s), subsequent encounter for fracture with routine healing
- M84.479GPathological fracture, unspecified toe(s), subsequent encounter for fracture with delayed healing
- M84.479KPathological fracture, unspecified toe(s), subsequent encounter for fracture with nonunion
- M84.479PPathological fracture, unspecified toe(s), subsequent encounter for fracture with malunion
- M84.479SPathological fracture, unspecified toe(s), sequela
M84.47 at a glance
| Code | M84.47 |
|---|---|
| Description | Pathological fracture, ankle, foot and toes |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M84.47 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M84.47. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, pathological › ankle (pathologic)
- Fracture, pathological › metatarsus (pathologic)
- Fracture, pathological › tarsus (pathologic)
- Fracture, pathological › toe (pathologic)
Excludes1 — never code together — inherited from M84.4
The conditions below can never be reported together with M84.47 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 M84.47, but a patient may have both at the same time. When documentation supports it, M84.47 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 M84.47, but a patient may have both at the same time. When documentation supports it, M84.47 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 M84.47, but a patient may have both at the same time. When documentation supports it, M84.47 and the excluded code may both be reported.
- personal history of (healed) pathological fracture (Z87.311)
What codes fall under M84.47? (9)
- M84.471Pathological fracture, right anklenot billable
- M84.472Pathological fracture, left anklenot billable
- M84.473Pathological fracture, unspecified anklenot billable
- M84.474Pathological fracture, right footnot billable
- M84.475Pathological fracture, left footnot billable
- M84.476Pathological fracture, unspecified footnot billable
- M84.477Pathological fracture, right toe(s)not billable
- M84.478Pathological fracture, left toe(s)not billable
- M84.479Pathological fracture, unspecified toe(s)not billable
How long has M84.47 existed?
M84.47 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
- M84.45Pathological fracture, femur and pelvisnot billable
- M84.46Pathological fracture, tibia and fibulanot billable
- M84.48Pathological fracture, other sitenot billable