M84.62 — Pathological fracture in other disease, humerus
Is M84.62 billable?
No — M84.62 is a non-billable header code. M84.62 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 M84.62.
Billable codes under this header
- M84.621APathological fracture in other disease, right humerus, initial encounter for fracture
- M84.621DPathological fracture in other disease, right humerus, subsequent encounter for fracture with routine healing
- M84.621GPathological fracture in other disease, right humerus, subsequent encounter for fracture with delayed healing
- M84.621KPathological fracture in other disease, right humerus, subsequent encounter for fracture with nonunion
- M84.621PPathological fracture in other disease, right humerus, subsequent encounter for fracture with malunion
- M84.621SPathological fracture in other disease, right humerus, sequela
- M84.622APathological fracture in other disease, left humerus, initial encounter for fracture
- M84.622DPathological fracture in other disease, left humerus, subsequent encounter for fracture with routine healing
- M84.622GPathological fracture in other disease, left humerus, subsequent encounter for fracture with delayed healing
- M84.622KPathological fracture in other disease, left humerus, subsequent encounter for fracture with nonunion
- M84.622PPathological fracture in other disease, left humerus, subsequent encounter for fracture with malunion
- M84.622SPathological fracture in other disease, left humerus, sequela
- M84.629APathological fracture in other disease, unspecified humerus, initial encounter for fracture
- M84.629DPathological fracture in other disease, unspecified humerus, subsequent encounter for fracture with routine healing
- M84.629GPathological fracture in other disease, unspecified humerus, subsequent encounter for fracture with delayed healing
- M84.629KPathological fracture in other disease, unspecified humerus, subsequent encounter for fracture with nonunion
- M84.629PPathological fracture in other disease, unspecified humerus, subsequent encounter for fracture with malunion
- M84.629SPathological fracture in other disease, unspecified humerus, sequela
M84.62 at a glance
| Code | M84.62 |
|---|---|
| Description | Pathological fracture in other disease, humerus |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M84.62 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M84.62. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, pathological › due to › specified disease NEC › humerus (pathologic)
Excludes1 — never code together — inherited from M84.6
The conditions below can never be reported together with M84.62 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- pathological fracture in osteoporosis (M80.-)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M84.62, but a patient may have both at the same time. When documentation supports it, M84.62 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 M84.62, but a patient may have both at the same time. When documentation supports it, M84.62 and the excluded code may both be reported.
- traumatic fracture of bone-see fracture, by site
Code also — inherited from M84.6
Two codes may be needed to describe the condition fully. Whether M84.62 is sequenced first depends on the reason for the encounter.
- underlying condition
What codes fall under M84.62? (3)
How long has M84.62 existed?
M84.62 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 M84.6 family? (8)
- M84.60Pathological fracture in other disease, unspecified sitenot billable
- M84.61Pathological fracture in other disease, shouldernot billable
- M84.63Pathological fracture in other disease, ulna and radiusnot billable
- M84.64Pathological fracture in other disease, handnot billable
- M84.65Pathological fracture in other disease, pelvis and femurnot billable
- M84.66Pathological fracture in other disease, tibia and fibulanot billable
- M84.67Pathological fracture in other disease, ankle and footnot billable
- M84.68Pathological fracture in other disease, other sitenot billable