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M84.451A
Billable

Pathological fracture, right femur (initial encounter for fracture)

Chapter 13: Diseases of the musculoskeletal system and connective tissue

Billable Code

M84.451A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Referenced in Diagnoses

Conditions that use this ICD-10 code in their documentation

View documentation for proximal femur fracture
proximal femur fracture
View Templates

Fracture of proximal femur

Additional Information from Parent Codes

The following information may apply to this code from its parent codes in the ICD-10 hierarchy. This information is important for proper coding and classification.

Inclusion Terms

2 items

From M84.4:

  • Chronic fracture
  • Pathological fracture NOS

Excludes1

6 items

From M84.4:

  • collapsed vertebra NEC (M48.5)
  • pathological fracture in neoplastic disease (M84.5-)
  • pathological fracture in osteoporosis (M80.-)
  • pathological fracture in other disease (M84.6-)
  • stress fracture (M84.3-)
  • traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)

Excludes2

12 items

From M00-M99:

  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

From M84:

  • traumatic fracture of bone-see fracture, by site

From M84.4:

  • personal history of (healed) pathological fracture (Z87.311)

Notes

1 item

From M00-M99:

  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

7th Character Notes

7 items

From M84.4:

  • The appropriate 7th character is to be added to each code from subcategory M84.4:
  • 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
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