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M84.573A

Pathological fracture in neoplastic disease, unspecified ankle, initial encounter for fracture

Billable FY2026 2025-10-01 → 2026-09-30
This is the unspecified option. 5 more specific codes sit alongside it. Worth checking whether the documentation supports one of them.
Exclusions 11 never code together
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

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

7th character 6
A initial encounter for fracture this code
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
Instructional notes 2
M84.5code
Code also
  • underlying neoplasm
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 — M84.573
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

RX08HCC87

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

This code

Billable
yes
Code set
FY2026
Parent
M84.573
Block
M80-M94
Siblings
5

Present FY2024–FY2027.