M84.612
Billable

Pathological fracture in other disease, left shoulder

Billable / Specific Code

What is Pathological fracture in other disease, left shoulder?

ICD-10-CM M84.612 is the diagnosis code for Pathological fracture in other disease, left shoulder. This code falls under the section "Disorders of bone density and structure" within Chapter 13 — Diseases of the musculoskeletal system and connective tissue (M00-M99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for M84.612

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where M84.612 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is M84.612 a billable ICD-10-CM code?

Yes, M84.612 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does M84.612 mean?

M84.612 is the ICD-10-CM diagnosis code for "Pathological fracture in other disease, left shoulder". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of M84.612?

The parent code of M84.612 is M84.61 ("Pathological fracture in other disease, shoulder"). M84.612 provides a more specific classification within this category.

What section is M84.612 in?

M84.612 is located in Section M80-M85 — "Disorders of bone density and structure" within Chapter 13 of the ICD-10-CM Tabular List.

When should I use M84.612?

Use M84.612 when the patients documented diagnosis matches "Pathological fracture in other disease, left shoulder" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Pathological fracture in other disease, left shoulder?

The ICD-10-CM code for Pathological fracture in other disease, left shoulder is M84.612.

Can M84.612 be used for primary diagnosis?

Yes, M84.612 can be used as a primary diagnosis code since it is billable and specific.

What chapter is M84.612 in?

M84.612 is in Chapter 13 of the ICD-10-CM Tabular List.

Is M84.612 valid for 2026?

Yes, M84.612 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousM84.611Pathological fracture in other disease, right shoulderNext →M84.619Pathological fracture in other disease, unspecified shoulder
Code Details
M84.612
Pathological fracture in other disease, left shoulder
Billable / Specific Code
13 — Diseases of the musculoskeletal system and connective tissue (M00-M99)
M80-M85 — Disorders of bone density and structure
2026 ICD-10-CM