M84.58XD — Pathological fracture in neoplastic disease, other specified site, subsequent encounter for fracture with routine healing

BillableUnspecified

Is M84.58XD billable?

Yes, but M84.58XD is an unspecified code. M84.58XD is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M84.58XD is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting M84.58XD — the more specific alternatives are listed below.

More specific alternatives

M84.58XD at a glance

Code	M84.58XD
Description	Pathological fracture in neoplastic disease, other specified site, subsequent encounter for fracture with routine healing
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027
7th character "D"	subsequent encounter for fracture with routine healing

What does the 7th character "D" mean in M84.58XD?

In M84.58XD, the 7th character D means subsequent encounter for fracture with routine healing. The 7th character is required for M84.58XD to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does M84.58XD group to?

M84.58XD sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

559Aftercare, Musculoskeletal System and Connective Tissue with MCCmedical
560Aftercare, Musculoskeletal System and Connective Tissue with CCmedical
561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCCmedical

How is M84.58XD listed in the Alphabetic Index?

The Alphabetic Index lists these routes under M84.58, the nearest indexed parent of M84.58XD. Use them to find the family, then select the specific code.

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 M84.58XD.

Pathological fracture in neoplastic disease, vertebrae

Excludes2 — not included here — inherited from Chapter 13

The conditions below are not part of M84.58XD, but a patient may have both at the same time. When documentation supports it, M84.58XD 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 M84.58XD, but a patient may have both at the same time. When documentation supports it, M84.58XD 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 M84.58XD is sequenced first depends on the reason for the encounter.

underlying neoplasm

How long has M84.58XD existed?

M84.58XD 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.