M84.421

Billable
ChapterM00–M99
Ranksubcategory
Official Description

Pathological fracture, right humerus

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
M84.42Pathological fracture, humerus
M84.421Pathological fracture, right humerusBillable
M84.421APathological fracture, right humerus, initial encounter for fractureBillable
M84.421DPathological fracture, right humerus, subsequent encounter for fracture with routine healingBillable
M84.421GPathological fracture, right humerus, subsequent encounter for fracture with delayed healingBillable
M84.421KPathological fracture, right humerus, subsequent encounter for fracture with nonunionBillable
M84.421PPathological fracture, right humerus, subsequent encounter for fracture with malunionBillable
M84.421SPathological fracture, right humerus, sequelaBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M84.421:

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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