M84.40

Billable
ChapterM00–M99
Ranksubcategory
Official Description

Pathological fracture, unspecified site

Metadata & Insights
  • Billable/specific code (valid for reimbursement).
  • Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99).
General instructions are available for the parent sections:

Clinical Hierarchy

BillableHas subcodes
CH13Diseases of the musculoskeletal system and connective tissue (M00-M99)
M80-M85Disorders of bone density and structure (M80-M85)
M84Disorder of continuity of bone
M84.4Pathological fracture, not elsewhere classified
M84.40Pathological fracture, unspecified siteBillable
M84.40XAPathological fracture, unspecified site, initial encounter for fractureBillable
M84.40XDPathological fracture, unspecified site, subsequent encounter for fracture with routine healingBillable
M84.40XGPathological fracture, unspecified site, subsequent encounter for fracture with delayed healingBillable
M84.40XKPathological fracture, unspecified site, subsequent encounter for fracture with nonunionBillable
M84.40XPPathological fracture, unspecified site, subsequent encounter for fracture with malunionBillable
M84.40XSPathological fracture, unspecified site, sequelaBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M84.40:

subcategoryM84.4
Pathological fracture, not elsewhere classified
View context instructions
categoryM84
Disorder of continuity of bone
View context instructions
chapterCH13
Diseases of the musculoskeletal system and connective tissue (M00-M99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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