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ICD-10-CM · FY 2026 APRIL UPDATE

M84.41

Pathological fracture, shoulder

Diagnosis reference

Nonbillable category

This entry is a category or subcategory. Choose the appropriate billable descendant based on the clinical documentation.

Effective periodOctober 1, 2026–September 30, 2027
SourceCMS ICD-10-CM order file
ClassificationDiagnosis · clinical modification

Related entries

Up to 30 descendants in this category

CODEDESCRIPTIONTYPE
M84.411Pathological fracture, right shoulderCategory
M84.411APathological fracture, right shoulder, initial encounter for fractureBillable
M84.411DPathological fracture, right shoulder, subsequent encounter for fracture with routine healingBillable
M84.411GPathological fracture, right shoulder, subsequent encounter for fracture with delayed healingBillable
M84.411KPathological fracture, right shoulder, subsequent encounter for fracture with nonunionBillable
M84.411PPathological fracture, right shoulder, subsequent encounter for fracture with malunionBillable
M84.411SPathological fracture, right shoulder, sequelaBillable
M84.412Pathological fracture, left shoulderCategory
M84.412APathological fracture, left shoulder, initial encounter for fractureBillable
M84.412DPathological fracture, left shoulder, subsequent encounter for fracture with routine healingBillable
M84.412GPathological fracture, left shoulder, subsequent encounter for fracture with delayed healingBillable
M84.412KPathological fracture, left shoulder, subsequent encounter for fracture with nonunionBillable
M84.412PPathological fracture, left shoulder, subsequent encounter for fracture with malunionBillable
M84.412SPathological fracture, left shoulder, sequelaBillable
M84.419Pathological fracture, unspecified shoulderCategory
M84.419APathological fracture, unspecified shoulder, initial encounter for fractureBillable
M84.419DPathological fracture, unspecified shoulder, subsequent encounter for fracture with routine healingBillable
M84.419GPathological fracture, unspecified shoulder, subsequent encounter for fracture with delayed healingBillable
M84.419KPathological fracture, unspecified shoulder, subsequent encounter for fracture with nonunionBillable
M84.419PPathological fracture, unspecified shoulder, subsequent encounter for fracture with malunionBillable
M84.419SPathological fracture, unspecified shoulder, sequelaBillable

Use the complete reference

This reference does not reproduce the full tabular hierarchy, inclusion notes, Excludes1/2 notes, sequencing instructions, or seventh-character rules. Review the official tables and coding guidelines.

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ICD-10-CM codes describe diagnoses. They do not have an independent Medicare PFS reimbursement amount, and billability alone does not establish coverage.