Pathological fracture in neoplastic disease, shoulder

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 3 more specific codes instead:

M84.511 Pathological fracture in neoplastic disease, right shoulder (also a header)
M84.512 Pathological fracture in neoplastic disease, left shoulder (also a header)
M84.519 Pathological fracture in neoplastic disease, unspecified shoulder (also a header)

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2012 Added to the draft code set draft Pathological fracture in neoplastic disease, shoulder

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from M84 Disorder of continuity of bone

Excludes2 - not included here

traumatic fracture of bone-see fracture, by site

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Fracture, pathological > due to > neoplastic disease NEC > scapula
Fracture, pathological > due to > neoplastic disease NEC > clavicle

Codes in the same group

Code	Description	Status
M84.50	Pathological fracture in neoplastic disease, unspecified site	Not billable
M84.52	Pathological fracture in neoplastic disease, humerus	Not billable
M84.53	Pathological fracture in neoplastic disease, ulna and radius	Not billable
M84.54	Pathological fracture in neoplastic disease, hand	Not billable
M84.55	Pathological fracture in neoplastic disease, pelvis and femur	Not billable
M84.56	Pathological fracture in neoplastic disease, tibia and fibula	Not billable
M84.57	Pathological fracture in neoplastic disease, ankle and foot	Not billable
M84.58	Pathological fracture in neoplastic disease, other specified site	Not billable