M84.65 — Pathological fracture in other disease, pelvis and femur
Not billable
Is M84.65 billable?
No — M84.65 is a non-billable header code. M84.65 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 M84.65.
Billable codes under this header
- M84.650APathological fracture in other disease, pelvis, initial encounter for fracture
- M84.650DPathological fracture in other disease, pelvis, subsequent encounter for fracture with routine healing
- M84.650GPathological fracture in other disease, pelvis, subsequent encounter for fracture with delayed healing
- M84.650KPathological fracture in other disease, pelvis, subsequent encounter for fracture with nonunion
- M84.650PPathological fracture in other disease, pelvis, subsequent encounter for fracture with malunion
- M84.650SPathological fracture in other disease, pelvis, sequela
- M84.651APathological fracture in other disease, right femur, initial encounter for fracture
- M84.651DPathological fracture in other disease, right femur, subsequent encounter for fracture with routine healing
- M84.651GPathological fracture in other disease, right femur, subsequent encounter for fracture with delayed healing
- M84.651KPathological fracture in other disease, right femur, subsequent encounter for fracture with nonunion
- M84.651PPathological fracture in other disease, right femur, subsequent encounter for fracture with malunion
- M84.651SPathological fracture in other disease, right femur, sequela
- M84.652APathological fracture in other disease, left femur, initial encounter for fracture
- M84.652DPathological fracture in other disease, left femur, subsequent encounter for fracture with routine healing
- M84.652GPathological fracture in other disease, left femur, subsequent encounter for fracture with delayed healing
- M84.652KPathological fracture in other disease, left femur, subsequent encounter for fracture with nonunion
- M84.652PPathological fracture in other disease, left femur, subsequent encounter for fracture with malunion
- M84.652SPathological fracture in other disease, left femur, sequela
- M84.653APathological fracture in other disease, unspecified femur, initial encounter for fracture
- M84.653DPathological fracture in other disease, unspecified femur, subsequent encounter for fracture with routine healing
- M84.653GPathological fracture in other disease, unspecified femur, subsequent encounter for fracture with delayed healing
- M84.653KPathological fracture in other disease, unspecified femur, subsequent encounter for fracture with nonunion
- M84.653PPathological fracture in other disease, unspecified femur, subsequent encounter for fracture with malunion
- M84.653SPathological fracture in other disease, unspecified femur, sequela
- M84.659APathological fracture in other disease, hip, unspecified, initial encounter for fracture
- M84.659DPathological fracture in other disease, hip, unspecified, subsequent encounter for fracture with routine healing
- M84.659GPathological fracture in other disease, hip, unspecified, subsequent encounter for fracture with delayed healing
- M84.659KPathological fracture in other disease, hip, unspecified, subsequent encounter for fracture with nonunion
- M84.659PPathological fracture in other disease, hip, unspecified, subsequent encounter for fracture with malunion
- M84.659SPathological fracture in other disease, hip, unspecified, sequela
M84.65 at a glance
| Code | M84.65 |
|---|---|
| Description | Pathological fracture in other 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 M84.65 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M84.65. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, pathological › due to › specified disease NEC › femur (pathologic)
- Fracture, pathological › due to › specified disease NEC › hip (pathologic)
Excludes1 — never code together — inherited from M84.6
The conditions below can never be reported together with M84.65 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 M84.65, but a patient may have both at the same time. When documentation supports it, M84.65 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 M84.65, but a patient may have both at the same time. When documentation supports it, M84.65 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 M84.65 is sequenced first depends on the reason for the encounter.
- underlying condition
What codes fall under M84.65? (5)
- M84.650Pathological fracture in other disease, pelvisnot billable
- M84.651Pathological fracture in other disease, right femurnot billable
- M84.652Pathological fracture in other disease, left femurnot billable
- M84.653Pathological fracture in other disease, unspecified femurnot billable
- M84.659Pathological fracture in other disease, hip, unspecifiednot billable
How long has M84.65 existed?
M84.65 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
- M84.63Pathological fracture in other disease, ulna and radiusnot billable
- M84.64Pathological fracture in other disease, handnot 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