FY2016
Effective from
- First observed
Pathological fracture in neoplastic disease
Category — select a more specific code
CDC/NCHS · FY2016A — initial encounter for fracture
D — subsequent encounter for fracture with routine healing
G — subsequent encounter for fracture with delayed healing
K — subsequent encounter for fracture with nonunion
P — subsequent encounter for fracture with malunion
S — sequela
underlying neoplasm
traumatic fracture of bone-see fracture, by site
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗First observed · 2015-10-01
No recorded change since first observation
Effective from
Pathological fracture in neoplastic disease
Category — select a more specific code
CDC/NCHS · FY2016| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | No tabular change |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | No tabular change |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | No tabular change |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
underlying neoplasm
The appropriate 7th character is to be added to each code from subcategory M84.5:
A — initial encounter for fracture
D — subsequent encounter for fracture with routine healing
G — subsequent encounter for fracture with delayed healing
K — subsequent encounter for fracture with nonunion
P — subsequent encounter for fracture with malunion
S — sequela
Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
traumatic fracture of bone-see fracture, by site
M84.50Pathological fracture in neoplastic disease, unspecified siteCategory · further specificity requiredM84.51Pathological fracture in neoplastic disease, shoulderCategory · further specificity requiredM84.52Pathological fracture in neoplastic disease, humerusCategory · further specificity requiredM84.53Pathological fracture in neoplastic disease, ulna and radiusCategory · further specificity requiredM84.54Pathological fracture in neoplastic disease, handCategory · further specificity requiredM84.55Pathological fracture in neoplastic disease, pelvis and femurCategory · further specificity requiredM84.56Pathological fracture in neoplastic disease, tibia and fibulaCategory · further specificity requiredM84.57Pathological fracture in neoplastic disease, ankle and footCategory · further specificity requiredM84.58Pathological fracture in neoplastic disease, other specified siteCategory · further specificity requiredOther entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| M84.3 | Stress fracture | Category · further specificity required |
| M84.4 | Pathological fracture, not elsewhere classified | Category · further specificity required |
| M84.6 | Pathological fracture in other disease | Category · further specificity required |
| M84.7 | Nontraumatic fracture, not elsewhere classified | Category · further specificity required |
| M84.8 | Other disorders of continuity of bone | Category · further specificity required |
| M84.9 | Disorder of continuity of bone, unspecified | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗