M84.58XA

Billable

ChapterM00–M99

Ranksubcategory

Official Description

Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture

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:

View CH13 Notes View M84 Notes View M84.5 Notes View M84.58 Notes

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

M84.5Pathological fracture in neoplastic disease

M84.58Pathological fracture in neoplastic disease, other specified site

M84.58XAPathological fracture in neoplastic disease, other specified site, initial encounter for fractureBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to M84.58XA:

subcategoryM84.58

Pathological fracture in neoplastic disease, other specified site

View context instructions

subcategoryM84.5

Pathological fracture in neoplastic disease

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 v43.1

This code is grouped within the following Diagnosis Related Group(s) for clinical reimbursement:

DRG 456

Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with MCC

DRG 457

Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC

DRG 458

Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC

DRG 542

Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC

DRG 543

Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC

DRG 544

Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/MCC

DRG 791

Prematurity with Major Problems

DRG 793

Full Term Neonate with Major Problems

Cross Reference

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