M84.63 — Pathological fracture in other disease, ulna and radius
Is M84.63 billable?
No — M84.63 is a non-billable header code. M84.63 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 M84.63.
Billable codes under this header
- M84.631APathological fracture in other disease, right ulna, initial encounter for fracture
- M84.631DPathological fracture in other disease, right ulna, subsequent encounter for fracture with routine healing
- M84.631GPathological fracture in other disease, right ulna, subsequent encounter for fracture with delayed healing
- M84.631KPathological fracture in other disease, right ulna, subsequent encounter for fracture with nonunion
- M84.631PPathological fracture in other disease, right ulna, subsequent encounter for fracture with malunion
- M84.631SPathological fracture in other disease, right ulna, sequela
- M84.632APathological fracture in other disease, left ulna, initial encounter for fracture
- M84.632DPathological fracture in other disease, left ulna, subsequent encounter for fracture with routine healing
- M84.632GPathological fracture in other disease, left ulna, subsequent encounter for fracture with delayed healing
- M84.632KPathological fracture in other disease, left ulna, subsequent encounter for fracture with nonunion
- M84.632PPathological fracture in other disease, left ulna, subsequent encounter for fracture with malunion
- M84.632SPathological fracture in other disease, left ulna, sequela
- M84.633APathological fracture in other disease, right radius, initial encounter for fracture
- M84.633DPathological fracture in other disease, right radius, subsequent encounter for fracture with routine healing
- M84.633GPathological fracture in other disease, right radius, subsequent encounter for fracture with delayed healing
- M84.633KPathological fracture in other disease, right radius, subsequent encounter for fracture with nonunion
- M84.633PPathological fracture in other disease, right radius, subsequent encounter for fracture with malunion
- M84.633SPathological fracture in other disease, right radius, sequela
- M84.634APathological fracture in other disease, left radius, initial encounter for fracture
- M84.634DPathological fracture in other disease, left radius, subsequent encounter for fracture with routine healing
- M84.634GPathological fracture in other disease, left radius, subsequent encounter for fracture with delayed healing
- M84.634KPathological fracture in other disease, left radius, subsequent encounter for fracture with nonunion
- M84.634PPathological fracture in other disease, left radius, subsequent encounter for fracture with malunion
- M84.634SPathological fracture in other disease, left radius, sequela
- M84.639APathological fracture in other disease, unspecified ulna and radius, initial encounter for fracture
- M84.639DPathological fracture in other disease, unspecified ulna and radius, subsequent encounter for fracture with routine healing
- M84.639GPathological fracture in other disease, unspecified ulna and radius, subsequent encounter for fracture with delayed healing
- M84.639KPathological fracture in other disease, unspecified ulna and radius, subsequent encounter for fracture with nonunion
- M84.639PPathological fracture in other disease, unspecified ulna and radius, subsequent encounter for fracture with malunion
- M84.639SPathological fracture in other disease, unspecified ulna and radius, sequela
M84.63 at a glance
| Code | M84.63 |
|---|---|
| Description | Pathological fracture in other disease, ulna and radius |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M84.63 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M84.63. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, pathological › due to › specified disease NEC › radius (pathologic)
- Fracture, pathological › due to › specified disease NEC › ulna (pathologic)
Excludes1 — never code together — inherited from M84.6
The conditions below can never be reported together with M84.63 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 M84.63, but a patient may have both at the same time. When documentation supports it, M84.63 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 M84.63, but a patient may have both at the same time. When documentation supports it, M84.63 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 M84.63 is sequenced first depends on the reason for the encounter.
- underlying condition
What codes fall under M84.63? (5)
- M84.631Pathological fracture in other disease, right ulnanot billable
- M84.632Pathological fracture in other disease, left ulnanot billable
- M84.633Pathological fracture in other disease, right radiusnot billable
- M84.634Pathological fracture in other disease, left radiusnot billable
- M84.639Pathological fracture in other disease, unspecified ulna and radiusnot billable
How long has M84.63 existed?
M84.63 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
- M84.62Pathological fracture in other disease, humerusnot 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