M84.4
Non-billablePathological fracture, not elsewhere classified
Pathological fracture, not elsewhere classified
This is a header/category code. For billing purposes, use a more specific child code from the list below.
Coding Notes
Inclusion Terms
Alternative clinical terms for this condition
- Chronic fracture
- Pathological fracture NOS
Excludes 1
Codes that cannot be used together with this code (mutual exclusion)
Excludes 2
Conditions not included here, but the patient may have both
- •arthropathic psoriasisL40.5
- •certain conditions originating in the perinatal periodP04-P96
- •certain infectious and parasitic diseasesA00-B99
- •compartment syndrome (traumatic)A-)T79
- •complications of pregnancy, childbirth and the puerperiumO9A)O00
- •congenital malformations, deformations, and chromosomal abnormalitiesQ00-Q99
- •endocrine, nutritional and metabolic diseasesE00-E88
- •injury, poisoning and certain other consequences of external causesS00-T88
- •neoplasmsC00-D49
- •symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classifiedR00-R94
- traumatic fracture of bone-see fracture, by site
- •personal history of (healed) pathological fractureZ87.311
7th Character Definitions
- A - initial encounter for fracture
- D - subsequent encounter for fracture with routine healing
- G - subsequent encounter for fracture with delayed healing
- K - subsequent encounter for fracture with nonunion
- P - subsequent encounter for fracture with malunion
- S - sequela
Child Codes (9)
M84.40Pathological fracture, unspecified site
M84.41Pathological fracture, shoulder
M84.42Pathological fracture, humerus
M84.43Pathological fracture, ulna and radius
M84.44Pathological fracture, hand and fingers
M84.45Pathological fracture, femur and pelvis
M84.46Pathological fracture, tibia and fibula
M84.47Pathological fracture, ankle, foot and toes
M84.48Pathological fracture, other site
Related Codes(6)
ICD-11 Equivalents(1)
ICD-11 Equivalents
View full mappingCorresponding ICD-11 codes from the WHO crosswalk mapping
Also Known As / Clinical Terms(37)
UMLS
- Bone fracture spontaneousC0016663
- FRACTURE PATHOLC0016663
- FRACTURES PATHOLC0016663
- Fracture pathologicalC0016663
- Fracture, PathologicC0016663
- Fracture, PathologicalC0016663
- Fracture, SpontaneousC0016663
- Fractures, PathologicC0016663
- Fractures, PathologicalC0016663
- Fractures, SpontaneousC0016663
- PATHOL FRACTUREC0016663
- PATHOL FRACTURESC0016663
- Pathologic FractureC0016663
- Pathologic FracturesC0016663
- Pathologic fractureC0016663
- Pathologic fracture (morphologic abnormality)C0016663
- Pathologic fracture, unspecified siteC0016663
- Pathologic fracturesC0016663
- Pathological FractureC0016663
- Pathological FracturesC0016663
- Pathological fractureC0016663
- Pathological fracture (disorder)C0016663
- Pathological fracture NOSC0016663
- Spontaneous FractureC0016663
- Spontaneous FracturesC0016663
- Spontaneous bone fractureC0016663
- Spontaneous fractureC0016663
- Spontaneous fracturesC0016663
- fracture pathologicalC0016663
- pathologic fractureC0016663
- pathologic fracturesC0016663
- pathological fractureC0016663
- pathological fracturesC0016663
- spontaneous fractureC0016663
- spontaneous fracturesC0016663
- Chronic fractureC2712806
- Pathological fracture, not elsewhere classifiedC0495002
Frequently Asked Questions
What is the ICD-10 code for pathological fracture, not elsewhere classified?
The ICD-10-CM code for pathological fracture, not elsewhere classified is M84.4. The full clinical description is "Pathological fracture, not elsewhere classified". M84.4 is a non-billable header code. Use a more specific child code for billing purposes.
What does ICD-10 code M84.4 mean?
ICD-10-CM code M84.4 represents “Pathological fracture, not elsewhere classified”. It is classified under Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue and is a non-billable header code. Use a more specific child code for billing purposes.
Is M84.4 a billable code?
No, M84.4 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 9 child codes under M84.4.
What chapter is M84.4 in?
M84.4 is in Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (codes M00-M99).
What codes cannot be used with M84.4?
M84.4 has Excludes1 notes indicating codes that cannot be used together with it, including: collapsed vertebra NEC (M48.5); pathological fracture in neoplastic disease (M84.5-); pathological fracture in osteoporosis (M80.-); and 3 more.
What are the subcategories under M84.4?
M84.4 has 9 child codes, including: M84.40 (Pathological fracture, unspecified site), M84.41 (Pathological fracture, shoulder), M84.42 (Pathological fracture, humerus), M84.43 (Pathological fracture, ulna and radius), and 5 more.
What are the UMLS CUIs for M84.4?
M84.4 is linked to 3 UMLS Concept Unique Identifiers: C0016663, C2712806, C0495002. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.
How does M84.4 relate to ICF functioning codes?
ICF (International Classification of Functioning, Disability and Health) codes describe how conditions like pathological fracture, not elsewhere classified affect a person's functioning: body functions, activities, participation, and environmental factors. AutoICD provides ICF Core Sets for 12+ conditions and can map clinical text to ICF categories automatically. Browse the ICF directory to explore functioning codes.
What is the ICD-11 equivalent of M84.4?
M84.4 maps to the ICD-11 code: FB80.B (Pathological fracture).
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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.