FY2016
Effective from
- First observed
Pathological fracture in other disease, other site, subsequent encounter for fracture with delayed healing
Billable diagnosis code
CDC/NCHS · FY2016underlying condition
pathological fracture in osteoporosis (M80.-)
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
Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.
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 other disease, other site, subsequent encounter for fracture with delayed healing
Billable diagnosis 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 |
Historical mapping only; not an automatic code substitution.
The official Tabular List has no additional instructions at this code level.
Review the instructions inherited from its parent categories below. Inherited instructions ↓
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
pathological fracture in osteoporosis (M80.-)
underlying condition
The appropriate 7th character is to be added to each code from subcategory M84.6:
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
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| M84.68XA | Pathological fracture in other disease, other site, initial encounter for fracture | Billable / specific |
| M84.68XD | Pathological fracture in other disease, other site, subsequent encounter for fracture with routine healing | Billable / specific |
| M84.68XK | Pathological fracture in other disease, other site, subsequent encounter for fracture with nonunion | Billable / specific |
| M84.68XP | Pathological fracture in other disease, other site, subsequent encounter for fracture with malunion | Billable / specific |
| M84.68XS | Pathological fracture in other disease, other site, sequela | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗