M84.58 — Pathological fracture in neoplastic disease, other specified site
Is M84.58 billable?
No — M84.58 is a non-billable header code. M84.58 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 M84.58.
Billable codes under this header
- 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
M84.58 at a glance
| Code | M84.58 |
|---|---|
| Description | Pathological fracture in neoplastic disease, other specified site |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M84.58 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M84.58. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Collapse › vertebra › in › neoplasm
- Fracture, pathological › due to › neoplastic disease NEC › neck (pathologic)
- Fracture, pathological › due to › neoplastic disease NEC › rib (pathologic)
- Fracture, pathological › due to › neoplastic disease NEC › skull (pathologic)
- Fracture, pathological › due to › neoplastic disease NEC › specified site NEC (pathologic)
- Fracture, pathological › due to › neoplastic disease NEC › vertebra (pathologic)
Inclusion terms
Alternative wording in documentation that is classified to M84.58.
- Pathological fracture in neoplastic disease, vertebrae
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M84.58, but a patient may have both at the same time. When documentation supports it, M84.58 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 M84.58, but a patient may have both at the same time. When documentation supports it, M84.58 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 M84.58 is sequenced first depends on the reason for the encounter.
- underlying neoplasm
What codes fall under M84.58? (6)
- 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
How long has M84.58 existed?
M84.58 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.
Which conditions are coded to M84.58?
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
- M84.55Pathological 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