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ICD-10-CM · FY 2026 APRIL UPDATE

M84.56

Pathological fracture in neoplastic disease, 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
M84.561Pathological fracture in neoplastic disease, right tibiaCategory
M84.561APathological fracture in neoplastic disease, right tibia, initial encounter for fractureBillable
M84.561DPathological fracture in neoplastic disease, right tibia, subsequent encounter for fracture with routine healingBillable
M84.561GPathological fracture in neoplastic disease, right tibia, subsequent encounter for fracture with delayed healingBillable
M84.561KPathological fracture in neoplastic disease, right tibia, subsequent encounter for fracture with nonunionBillable
M84.561PPathological fracture in neoplastic disease, right tibia, subsequent encounter for fracture with malunionBillable
M84.561SPathological fracture in neoplastic disease, right tibia, sequelaBillable
M84.562Pathological fracture in neoplastic disease, left tibiaCategory
M84.562APathological fracture in neoplastic disease, left tibia, initial encounter for fractureBillable
M84.562DPathological fracture in neoplastic disease, left tibia, subsequent encounter for fracture with routine healingBillable
M84.562GPathological fracture in neoplastic disease, left tibia, subsequent encounter for fracture with delayed healingBillable
M84.562KPathological fracture in neoplastic disease, left tibia, subsequent encounter for fracture with nonunionBillable
M84.562PPathological fracture in neoplastic disease, left tibia, subsequent encounter for fracture with malunionBillable
M84.562SPathological fracture in neoplastic disease, left tibia, sequelaBillable
M84.563Pathological fracture in neoplastic disease, right fibulaCategory
M84.563APathological fracture in neoplastic disease, right fibula, initial encounter for fractureBillable
M84.563DPathological fracture in neoplastic disease, right fibula, subsequent encounter for fracture with routine healingBillable
M84.563GPathological fracture in neoplastic disease, right fibula, subsequent encounter for fracture with delayed healingBillable
M84.563KPathological fracture in neoplastic disease, right fibula, subsequent encounter for fracture with nonunionBillable
M84.563PPathological fracture in neoplastic disease, right fibula, subsequent encounter for fracture with malunionBillable
M84.563SPathological fracture in neoplastic disease, right fibula, sequelaBillable
M84.564Pathological fracture in neoplastic disease, left fibulaCategory
M84.564APathological fracture in neoplastic disease, left fibula, initial encounter for fractureBillable
M84.564DPathological fracture in neoplastic disease, left fibula, subsequent encounter for fracture with routine healingBillable
M84.564GPathological fracture in neoplastic disease, left fibula, subsequent encounter for fracture with delayed healingBillable
M84.564KPathological fracture in neoplastic disease, left fibula, subsequent encounter for fracture with nonunionBillable
M84.564PPathological fracture in neoplastic disease, left fibula, subsequent encounter for fracture with malunionBillable
M84.564SPathological fracture in neoplastic disease, left fibula, sequelaBillable
M84.569Pathological fracture in neoplastic disease, unspecified tibia and fibulaCategory
M84.569APathological fracture in neoplastic disease, unspecified tibia and fibula, initial encounter for fractureBillable

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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.