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ICD-10-CM · FY 2026 APRIL UPDATE

M84.45

Pathological fracture, femur and pelvis

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
M84.451Pathological fracture, right femurCategory
M84.451APathological fracture, right femur, initial encounter for fractureBillable
M84.451DPathological fracture, right femur, subsequent encounter for fracture with routine healingBillable
M84.451GPathological fracture, right femur, subsequent encounter for fracture with delayed healingBillable
M84.451KPathological fracture, right femur, subsequent encounter for fracture with nonunionBillable
M84.451PPathological fracture, right femur, subsequent encounter for fracture with malunionBillable
M84.451SPathological fracture, right femur, sequelaBillable
M84.452Pathological fracture, left femurCategory
M84.452APathological fracture, left femur, initial encounter for fractureBillable
M84.452DPathological fracture, left femur, subsequent encounter for fracture with routine healingBillable
M84.452GPathological fracture, left femur, subsequent encounter for fracture with delayed healingBillable
M84.452KPathological fracture, left femur, subsequent encounter for fracture with nonunionBillable
M84.452PPathological fracture, left femur, subsequent encounter for fracture with malunionBillable
M84.452SPathological fracture, left femur, sequelaBillable
M84.453Pathological fracture, unspecified femurCategory
M84.453APathological fracture, unspecified femur, initial encounter for fractureBillable
M84.453DPathological fracture, unspecified femur, subsequent encounter for fracture with routine healingBillable
M84.453GPathological fracture, unspecified femur, subsequent encounter for fracture with delayed healingBillable
M84.453KPathological fracture, unspecified femur, subsequent encounter for fracture with nonunionBillable
M84.453PPathological fracture, unspecified femur, subsequent encounter for fracture with malunionBillable
M84.453SPathological fracture, unspecified femur, sequelaBillable
M84.454Pathological fracture, pelvisCategory
M84.454APathological fracture, pelvis, initial encounter for fractureBillable
M84.454DPathological fracture, pelvis, subsequent encounter for fracture with routine healingBillable
M84.454GPathological fracture, pelvis, subsequent encounter for fracture with delayed healingBillable
M84.454KPathological fracture, pelvis, subsequent encounter for fracture with nonunionBillable
M84.454PPathological fracture, pelvis, subsequent encounter for fracture with malunionBillable
M84.454SPathological fracture, pelvis, sequelaBillable
M84.459Pathological fracture, hip, unspecifiedCategory
M84.459APathological fracture, hip, unspecified, initial encounter for fractureBillable

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.

Open official CMS files

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