Back to ICD-10 library
ICD-10-CM · FY 2026 APRIL UPDATE

M84.46

Pathological fracture, tibia and fibula

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
M84.461Pathological fracture, right tibiaCategory
M84.461APathological fracture, right tibia, initial encounter for fractureBillable
M84.461DPathological fracture, right tibia, subsequent encounter for fracture with routine healingBillable
M84.461GPathological fracture, right tibia, subsequent encounter for fracture with delayed healingBillable
M84.461KPathological fracture, right tibia, subsequent encounter for fracture with nonunionBillable
M84.461PPathological fracture, right tibia, subsequent encounter for fracture with malunionBillable
M84.461SPathological fracture, right tibia, sequelaBillable
M84.462Pathological fracture, left tibiaCategory
M84.462APathological fracture, left tibia, initial encounter for fractureBillable
M84.462DPathological fracture, left tibia, subsequent encounter for fracture with routine healingBillable
M84.462GPathological fracture, left tibia, subsequent encounter for fracture with delayed healingBillable
M84.462KPathological fracture, left tibia, subsequent encounter for fracture with nonunionBillable
M84.462PPathological fracture, left tibia, subsequent encounter for fracture with malunionBillable
M84.462SPathological fracture, left tibia, sequelaBillable
M84.463Pathological fracture, right fibulaCategory
M84.463APathological fracture, right fibula, initial encounter for fractureBillable
M84.463DPathological fracture, right fibula, subsequent encounter for fracture with routine healingBillable
M84.463GPathological fracture, right fibula, subsequent encounter for fracture with delayed healingBillable
M84.463KPathological fracture, right fibula, subsequent encounter for fracture with nonunionBillable
M84.463PPathological fracture, right fibula, subsequent encounter for fracture with malunionBillable
M84.463SPathological fracture, right fibula, sequelaBillable
M84.464Pathological fracture, left fibulaCategory
M84.464APathological fracture, left fibula, initial encounter for fractureBillable
M84.464DPathological fracture, left fibula, subsequent encounter for fracture with routine healingBillable
M84.464GPathological fracture, left fibula, subsequent encounter for fracture with delayed healingBillable
M84.464KPathological fracture, left fibula, subsequent encounter for fracture with nonunionBillable
M84.464PPathological fracture, left fibula, subsequent encounter for fracture with malunionBillable
M84.464SPathological fracture, left fibula, sequelaBillable
M84.469Pathological fracture, unspecified tibia and fibulaCategory
M84.469APathological fracture, unspecified tibia and fibula, 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.