Non-Billable / Non-Specific Code
ICD-10-CM M84.4 is the diagnosis code for Pathological fracture, not elsewhere classified. This code falls under the section "Disorders of bone density and structure" within Chapter 13 â Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as M84.4. They are mutually exclusive:
The following conditions are not included in M84.4. If the patient has both, code each condition separately:
Understanding where M84.4 sits in the ICD-10-CM classification helps ensure proper coding:
No, M84.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
M84.4 is the ICD-10-CM diagnosis code for "Pathological fracture, not elsewhere classified". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of M84.4 is M84 ("Disorder of continuity of bone"). M84.4 provides a more specific classification within this category.
M84.4 is located in Section M80-M85 â "Disorders of bone density and structure" within Chapter 13 of the ICD-10-CM Tabular List.
M84.4 has 9 sub-code(s) that provide more specific detail: M84.40, M84.41, M84.42, M84.43, M84.44 and more.
Use M84.4 when the patients documented diagnosis matches "Pathological fracture, not elsewhere classified" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Pathological fracture, not elsewhere classified is M84.4.
No, M84.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.
M84.4 is in Chapter 13 of the ICD-10-CM Tabular List.
Type 1 Excludes for M84.4 include: collapsed vertebra NEC (M48.5); pathological fracture in neoplastic disease (M84.5-); pathological fracture in osteoporosis (M80.-) and more.
Yes, M84.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.