FY2016
Effective from
- First observed
Pathological fracture in neoplastic disease, other specified site
Category — select a more specific code
CDC/NCHS · FY2016underlying neoplasm
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
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, other specified site
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 |
Pathological fracture in neoplastic disease, vertebrae
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
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
M84.58XAPathological fracture in neoplastic disease, other specified site, initial encounter for fractureBillable / specificM84.58XDPathological fracture in neoplastic disease, other specified site, subsequent encounter for fracture with routine healingBillable / specificM84.58XGPathological fracture in neoplastic disease, other specified site, subsequent encounter for fracture with delayed healingBillable / specificM84.58XKPathological fracture in neoplastic disease, other specified site, subsequent encounter for fracture with nonunionBillable / specificM84.58XPPathological fracture in neoplastic disease, other specified site, subsequent encounter for fracture with malunionBillable / specificM84.58XSPathological fracture in neoplastic disease, other specified site, sequelaBillable / specificOther entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| M84.50 | Pathological fracture in neoplastic disease, unspecified site | Category · further specificity required |
| M84.51 | Pathological fracture in neoplastic disease, shoulder | Category · further specificity required |
| M84.52 | Pathological fracture in neoplastic disease, humerus | Category · further specificity required |
| M84.53 | Pathological fracture in neoplastic disease, ulna and radius | Category · further specificity required |
| M84.54 | Pathological fracture in neoplastic disease, hand | Category · further specificity required |
| M84.55 | Pathological fracture in neoplastic disease, pelvis and femur | Category · further specificity required |
| M84.56 | Pathological fracture in neoplastic disease, tibia and fibula | Category · further specificity required |
| M84.57 | Pathological fracture in neoplastic disease, ankle and foot | Category · further specificity required |
Official titles and instructions are preserved in their source language. Official sources ↗
Excludes 1 · pathological fracture of vertebra due to neoplasm (M84.58)
Excludes 1 · pathological fracture of vertebra due to neoplasm (M84.58)