M84.55 — Pathological fracture in neoplastic disease, pelvis and femur
Is M84.55 billable?
No — M84.55 is a non-billable header code. M84.55 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 30 billable codes beneath M84.55.
Billable codes under this header
- M84.550APathological fracture in neoplastic disease, pelvis, initial encounter for fracture
- M84.550DPathological fracture in neoplastic disease, pelvis, subsequent encounter for fracture with routine healing
- M84.550GPathological fracture in neoplastic disease, pelvis, subsequent encounter for fracture with delayed healing
- M84.550KPathological fracture in neoplastic disease, pelvis, subsequent encounter for fracture with nonunion
- M84.550PPathological fracture in neoplastic disease, pelvis, subsequent encounter for fracture with malunion
- M84.550SPathological fracture in neoplastic disease, pelvis, sequela
- M84.551APathological fracture in neoplastic disease, right femur, initial encounter for fracture
- M84.551DPathological fracture in neoplastic disease, right femur, subsequent encounter for fracture with routine healing
- M84.551GPathological fracture in neoplastic disease, right femur, subsequent encounter for fracture with delayed healing
- M84.551KPathological fracture in neoplastic disease, right femur, subsequent encounter for fracture with nonunion
- M84.551PPathological fracture in neoplastic disease, right femur, subsequent encounter for fracture with malunion
- M84.551SPathological fracture in neoplastic disease, right femur, sequela
- M84.552APathological fracture in neoplastic disease, left femur, initial encounter for fracture
- M84.552DPathological fracture in neoplastic disease, left femur, subsequent encounter for fracture with routine healing
- M84.552GPathological fracture in neoplastic disease, left femur, subsequent encounter for fracture with delayed healing
- M84.552KPathological fracture in neoplastic disease, left femur, subsequent encounter for fracture with nonunion
- M84.552PPathological fracture in neoplastic disease, left femur, subsequent encounter for fracture with malunion
- M84.552SPathological fracture in neoplastic disease, left femur, sequela
- M84.553APathological fracture in neoplastic disease, unspecified femur, initial encounter for fracture
- M84.553DPathological fracture in neoplastic disease, unspecified femur, subsequent encounter for fracture with routine healing
- M84.553GPathological fracture in neoplastic disease, unspecified femur, subsequent encounter for fracture with delayed healing
- M84.553KPathological fracture in neoplastic disease, unspecified femur, subsequent encounter for fracture with nonunion
- M84.553PPathological fracture in neoplastic disease, unspecified femur, subsequent encounter for fracture with malunion
- M84.553SPathological fracture in neoplastic disease, unspecified femur, sequela
- M84.559APathological fracture in neoplastic disease, hip, unspecified, initial encounter for fracture
- M84.559DPathological fracture in neoplastic disease, hip, unspecified, subsequent encounter for fracture with routine healing
- M84.559GPathological fracture in neoplastic disease, hip, unspecified, subsequent encounter for fracture with delayed healing
- M84.559KPathological fracture in neoplastic disease, hip, unspecified, subsequent encounter for fracture with nonunion
- M84.559PPathological fracture in neoplastic disease, hip, unspecified, subsequent encounter for fracture with malunion
- M84.559SPathological fracture in neoplastic disease, hip, unspecified, sequela
M84.55 at a glance
| Code | M84.55 |
|---|---|
| Description | Pathological fracture in neoplastic disease, pelvis and femur |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M84.55 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M84.55. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, pathological › due to › neoplastic disease NEC › femur (pathologic)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M84.55, but a patient may have both at the same time. When documentation supports it, M84.55 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 M84.55, but a patient may have both at the same time. When documentation supports it, M84.55 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 M84.55 is sequenced first depends on the reason for the encounter.
- underlying neoplasm
What codes fall under M84.55? (5)
- M84.550Pathological fracture in neoplastic disease, pelvisnot billable
- M84.551Pathological fracture in neoplastic disease, right femurnot billable
- M84.552Pathological fracture in neoplastic disease, left femurnot billable
- M84.553Pathological fracture in neoplastic disease, unspecified femurnot billable
- M84.559Pathological fracture in neoplastic disease, hip, unspecifiednot billable
How long has M84.55 existed?
M84.55 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
- M84.51Pathological 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
- M84.56Pathological 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