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M84.431D

Pathological fracture, right ulna, subsequent encounter for fracture with routine healing

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 18 never code together
M84.4code
Excludes1
Excludes2
  • personal history of (healed) pathological fracture (Z87.311)Z87.311
M84code
Excludes2
  • traumatic fracture of bone-see fracture, by site
M00-M99chapter
Excludes2
  • arthropathic psoriasis (L40.5-)L40.5-
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • compartment syndrome (traumatic) (T79.A-)T79.A-
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

7th character 6
A initial encounter for fracture
D subsequent encounter for fracture with routine healing this code
G subsequent encounter for fracture with delayed healing
K subsequent encounter for fracture with nonunion
P subsequent encounter for fracture with malunion
S sequela
Instructional notes 3
M84.4code
Inclusion terms
  • Chronic fracture
  • Pathological fracture NOS
M00-M99chapter
Notes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
Index entries leading here 1
  • Fracture, pathological (pathologic) — see also Fracture, traumatic M84.40
Alongside this code 5 same parent — M84.431
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
M84.431
Block
M80-M94
Siblings
5

Present FY2024–FY2027.