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ICD-10-CM · FY 2026 APRIL UPDATE

M84.5

Pathological fracture in neoplastic disease

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
M84.50Pathological fracture in neoplastic disease, unspecified siteCategory
M84.50XAPathological fracture in neoplastic disease, unspecified site, initial encounter for fractureBillable
M84.50XDPathological fracture in neoplastic disease, unspecified site, subsequent encounter for fracture with routine healingBillable
M84.50XGPathological fracture in neoplastic disease, unspecified site, subsequent encounter for fracture with delayed healingBillable
M84.50XKPathological fracture in neoplastic disease, unspecified site, subsequent encounter for fracture with nonunionBillable
M84.50XPPathological fracture in neoplastic disease, unspecified site, subsequent encounter for fracture with malunionBillable
M84.50XSPathological fracture in neoplastic disease, unspecified site, sequelaBillable
M84.51Pathological fracture in neoplastic disease, shoulderCategory
M84.511Pathological fracture in neoplastic disease, right shoulderCategory
M84.511APathological fracture in neoplastic disease, right shoulder, initial encounter for fractureBillable
M84.511DPathological fracture in neoplastic disease, right shoulder, subsequent encounter for fracture with routine healingBillable
M84.511GPathological fracture in neoplastic disease, right shoulder, subsequent encounter for fracture with delayed healingBillable
M84.511KPathological fracture in neoplastic disease, right shoulder, subsequent encounter for fracture with nonunionBillable
M84.511PPathological fracture in neoplastic disease, right shoulder, subsequent encounter for fracture with malunionBillable
M84.511SPathological fracture in neoplastic disease, right shoulder, sequelaBillable
M84.512Pathological fracture in neoplastic disease, left shoulderCategory
M84.512APathological fracture in neoplastic disease, left shoulder, initial encounter for fractureBillable
M84.512DPathological fracture in neoplastic disease, left shoulder, subsequent encounter for fracture with routine healingBillable
M84.512GPathological fracture in neoplastic disease, left shoulder, subsequent encounter for fracture with delayed healingBillable
M84.512KPathological fracture in neoplastic disease, left shoulder, subsequent encounter for fracture with nonunionBillable
M84.512PPathological fracture in neoplastic disease, left shoulder, subsequent encounter for fracture with malunionBillable
M84.512SPathological fracture in neoplastic disease, left shoulder, sequelaBillable
M84.519Pathological fracture in neoplastic disease, unspecified shoulderCategory
M84.519APathological fracture in neoplastic disease, unspecified shoulder, initial encounter for fractureBillable
M84.519DPathological fracture in neoplastic disease, unspecified shoulder, subsequent encounter for fracture with routine healingBillable
M84.519GPathological fracture in neoplastic disease, unspecified shoulder, subsequent encounter for fracture with delayed healingBillable
M84.519KPathological fracture in neoplastic disease, unspecified shoulder, subsequent encounter for fracture with nonunionBillable
M84.519PPathological fracture in neoplastic disease, unspecified shoulder, subsequent encounter for fracture with malunionBillable
M84.519SPathological fracture in neoplastic disease, unspecified shoulder, sequelaBillable
M84.52Pathological fracture in neoplastic disease, humerusCategory

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.