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

M84.61

Pathological fracture in other disease, 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
M84.611Pathological fracture in other disease, right shoulderCategory
M84.611APathological fracture in other disease, right shoulder, initial encounter for fractureBillable
M84.611DPathological fracture in other disease, right shoulder, subsequent encounter for fracture with routine healingBillable
M84.611GPathological fracture in other disease, right shoulder, subsequent encounter for fracture with delayed healingBillable
M84.611KPathological fracture in other disease, right shoulder, subsequent encounter for fracture with nonunionBillable
M84.611PPathological fracture in other disease, right shoulder, subsequent encounter for fracture with malunionBillable
M84.611SPathological fracture in other disease, right shoulder, sequelaBillable
M84.612Pathological fracture in other disease, left shoulderCategory
M84.612APathological fracture in other disease, left shoulder, initial encounter for fractureBillable
M84.612DPathological fracture in other disease, left shoulder, subsequent encounter for fracture with routine healingBillable
M84.612GPathological fracture in other disease, left shoulder, subsequent encounter for fracture with delayed healingBillable
M84.612KPathological fracture in other disease, left shoulder, subsequent encounter for fracture with nonunionBillable
M84.612PPathological fracture in other disease, left shoulder, subsequent encounter for fracture with malunionBillable
M84.612SPathological fracture in other disease, left shoulder, sequelaBillable
M84.619Pathological fracture in other disease, unspecified shoulderCategory
M84.619APathological fracture in other disease, unspecified shoulder, initial encounter for fractureBillable
M84.619DPathological fracture in other disease, unspecified shoulder, subsequent encounter for fracture with routine healingBillable
M84.619GPathological fracture in other disease, unspecified shoulder, subsequent encounter for fracture with delayed healingBillable
M84.619KPathological fracture in other disease, unspecified shoulder, subsequent encounter for fracture with nonunionBillable
M84.619PPathological fracture in other disease, unspecified shoulder, subsequent encounter for fracture with malunionBillable
M84.619SPathological fracture in other disease, 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.

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.