M84.50 — Pathological fracture in neoplastic disease, unspecified site
Is M84.50 billable?
No — M84.50 is a non-billable header code. M84.50 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 M84.50.
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
M84.50 at a glance
| Code | M84.50 |
|---|---|
| Description | Pathological fracture in neoplastic disease, unspecified site |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M84.50 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M84.50. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, pathological › due to › neoplastic disease NEC (pathologic)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M84.50, but a patient may have both at the same time. When documentation supports it, M84.50 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 M84.50, but a patient may have both at the same time. When documentation supports it, M84.50 and the excluded code may both be reported.
- traumatic fracture of bone-see fracture, by site
Code also — inherited from M84.5
Two codes may be needed to describe the condition fully. Whether M84.50 is sequenced first depends on the reason for the encounter.
- underlying neoplasm
What codes fall under M84.50? (6)
- 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
How long has M84.50 existed?
M84.50 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 M84.5 family? (8)
- 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