M84.5 — Pathological fracture in neoplastic disease
Is M84.5 billable?
No — M84.5 is a non-billable header code. M84.5 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 60 billable codes beneath M84.5.
Billable codes under this header
- M84.50XAPathological fracture in neoplastic disease, unspecified site, initial encounter for fracture
- M84.50XDPathological fracture in neoplastic disease, unspecified site, subsequent encounter for fracture with routine healing
- M84.50XGPathological fracture in neoplastic disease, unspecified site, subsequent encounter for fracture with delayed healing
- M84.50XKPathological fracture in neoplastic disease, unspecified site, subsequent encounter for fracture with nonunion
- M84.50XPPathological fracture in neoplastic disease, unspecified site, subsequent encounter for fracture with malunion
- M84.50XSPathological fracture in neoplastic disease, unspecified site, sequela
- M84.58XAPathological fracture in neoplastic disease, other specified site, initial encounter for fracture
- M84.58XDPathological fracture in neoplastic disease, other specified site, subsequent encounter for fracture with routine healing
- M84.58XGPathological fracture in neoplastic disease, other specified site, subsequent encounter for fracture with delayed healing
- M84.58XKPathological fracture in neoplastic disease, other specified site, subsequent encounter for fracture with nonunion
- M84.58XPPathological fracture in neoplastic disease, other specified site, subsequent encounter for fracture with malunion
- M84.58XSPathological fracture in neoplastic disease, other specified site, sequela
- M84.511APathological fracture in neoplastic disease, right shoulder, initial encounter for fracture
- M84.511DPathological fracture in neoplastic disease, right shoulder, subsequent encounter for fracture with routine healing
- M84.511GPathological fracture in neoplastic disease, right shoulder, subsequent encounter for fracture with delayed healing
- M84.511KPathological fracture in neoplastic disease, right shoulder, subsequent encounter for fracture with nonunion
- M84.511PPathological fracture in neoplastic disease, right shoulder, subsequent encounter for fracture with malunion
- M84.511SPathological fracture in neoplastic disease, right shoulder, sequela
- M84.512APathological fracture in neoplastic disease, left shoulder, initial encounter for fracture
- M84.512DPathological fracture in neoplastic disease, left shoulder, subsequent encounter for fracture with routine healing
- M84.512GPathological fracture in neoplastic disease, left shoulder, subsequent encounter for fracture with delayed healing
- M84.512KPathological fracture in neoplastic disease, left shoulder, subsequent encounter for fracture with nonunion
- M84.512PPathological fracture in neoplastic disease, left shoulder, subsequent encounter for fracture with malunion
- M84.512SPathological fracture in neoplastic disease, left shoulder, sequela
- M84.519APathological fracture in neoplastic disease, unspecified shoulder, initial encounter for fracture
- M84.519DPathological fracture in neoplastic disease, unspecified shoulder, subsequent encounter for fracture with routine healing
- M84.519GPathological fracture in neoplastic disease, unspecified shoulder, subsequent encounter for fracture with delayed healing
- M84.519KPathological fracture in neoplastic disease, unspecified shoulder, subsequent encounter for fracture with nonunion
- M84.519PPathological fracture in neoplastic disease, unspecified shoulder, subsequent encounter for fracture with malunion
- M84.519SPathological fracture in neoplastic disease, unspecified shoulder, sequela
- M84.521APathological fracture in neoplastic disease, right humerus, initial encounter for fracture
- M84.521DPathological fracture in neoplastic disease, right humerus, subsequent encounter for fracture with routine healing
- M84.521GPathological fracture in neoplastic disease, right humerus, subsequent encounter for fracture with delayed healing
- M84.521KPathological fracture in neoplastic disease, right humerus, subsequent encounter for fracture with nonunion
- M84.521PPathological fracture in neoplastic disease, right humerus, subsequent encounter for fracture with malunion
- M84.521SPathological fracture in neoplastic disease, right humerus, sequela
- M84.522APathological fracture in neoplastic disease, left humerus, initial encounter for fracture
- M84.522DPathological fracture in neoplastic disease, left humerus, subsequent encounter for fracture with routine healing
- M84.522GPathological fracture in neoplastic disease, left humerus, subsequent encounter for fracture with delayed healing
- M84.522KPathological fracture in neoplastic disease, left humerus, subsequent encounter for fracture with nonunion
- M84.522PPathological fracture in neoplastic disease, left humerus, subsequent encounter for fracture with malunion
- M84.522SPathological fracture in neoplastic disease, left humerus, sequela
- M84.529APathological fracture in neoplastic disease, unspecified humerus, initial encounter for fracture
- M84.529DPathological fracture in neoplastic disease, unspecified humerus, subsequent encounter for fracture with routine healing
- M84.529GPathological fracture in neoplastic disease, unspecified humerus, subsequent encounter for fracture with delayed healing
- M84.529KPathological fracture in neoplastic disease, unspecified humerus, subsequent encounter for fracture with nonunion
- M84.529PPathological fracture in neoplastic disease, unspecified humerus, subsequent encounter for fracture with malunion
- M84.529SPathological fracture in neoplastic disease, unspecified humerus, sequela
- M84.531APathological fracture in neoplastic disease, right ulna, initial encounter for fracture
- M84.531DPathological fracture in neoplastic disease, right ulna, subsequent encounter for fracture with routine healing
- M84.531GPathological fracture in neoplastic disease, right ulna, subsequent encounter for fracture with delayed healing
- M84.531KPathological fracture in neoplastic disease, right ulna, subsequent encounter for fracture with nonunion
- M84.531PPathological fracture in neoplastic disease, right ulna, subsequent encounter for fracture with malunion
- M84.531SPathological fracture in neoplastic disease, right ulna, sequela
- M84.532APathological fracture in neoplastic disease, left ulna, initial encounter for fracture
- M84.532DPathological fracture in neoplastic disease, left ulna, subsequent encounter for fracture with routine healing
- M84.532GPathological fracture in neoplastic disease, left ulna, subsequent encounter for fracture with delayed healing
- M84.532KPathological fracture in neoplastic disease, left ulna, subsequent encounter for fracture with nonunion
- M84.532PPathological fracture in neoplastic disease, left ulna, subsequent encounter for fracture with malunion
- M84.532SPathological fracture in neoplastic disease, left ulna, sequela
M84.5 at a glance
| Code | M84.5 |
|---|---|
| Description | Pathological fracture in neoplastic disease |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Code also
Two codes may be needed to describe the condition fully. Whether M84.5 is sequenced first depends on the reason for the encounter.
- underlying neoplasm
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M84.5, but a patient may have both at the same time. When documentation supports it, M84.5 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 M84.5, but a patient may have both at the same time. When documentation supports it, M84.5 and the excluded code may both be reported.
- traumatic fracture of bone-see fracture, by site
What codes fall under M84.5? (9)
- M84.50Pathological fracture in neoplastic disease, unspecified sitenot billable
- M84.51Pathological fracture in neoplastic disease, shouldernot billable
- M84.52Pathological fracture in neoplastic disease, humerusnot billable
- M84.53Pathological fracture in neoplastic disease, ulna and radiusnot billable
- M84.54Pathological fracture in neoplastic disease, handnot billable
- M84.55Pathological fracture in neoplastic disease, pelvis and femurnot billable
- M84.56Pathological fracture in neoplastic disease, tibia and fibulanot billable
- M84.57Pathological fracture in neoplastic disease, ankle and footnot billable
- M84.58Pathological fracture in neoplastic disease, other specified sitenot billable
How long has M84.5 existed?
M84.5 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 family? (6)
- M84.3Stress fracturenot billable
- M84.4Pathological fracture, not elsewhere classifiednot billable
- M84.6Pathological fracture in other diseasenot billable
- M84.7Nontraumatic fracture, not elsewhere classifiednot billable
- M84.8Other disorders of continuity of bonenot billable
- M84.9Disorder of continuity of bone, unspecified