M84.51 — Pathological fracture in neoplastic disease, shoulder
Is M84.51 billable?
No — M84.51 is a non-billable header code. M84.51 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 18 billable codes beneath M84.51.
Billable codes under this header
- 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
M84.51 at a glance
| Code | M84.51 |
|---|---|
| Description | Pathological fracture in neoplastic disease, shoulder |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M84.51 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M84.51. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, pathological › due to › neoplastic disease NEC › clavicle (pathologic)
- Fracture, pathological › due to › neoplastic disease NEC › scapula (pathologic)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M84.51, but a patient may have both at the same time. When documentation supports it, M84.51 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 M84.51, but a patient may have both at the same time. When documentation supports it, M84.51 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 M84.51 is sequenced first depends on the reason for the encounter.
- underlying neoplasm
What codes fall under M84.51? (3)
How long has M84.51 existed?
M84.51 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)
- M84.50Pathological fracture in neoplastic disease, unspecified sitenot 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