M84.412⚠ Requires 7th Character

Pathological fracture, left shoulder

⚠ 7th Character Required

The appropriate 7th character is to be added to each code from subcategory M84.4:

This code is not valid for billing without a 7th character. Append one of the following to M84.412:

Ainitial encounter for fractureM84.412ADsubsequent encounter for fracture with routine healingM84.412DGsubsequent encounter for fracture with delayed healingM84.412GKsubsequent encounter for fracture with nonunionM84.412KPsubsequent encounter for fracture with malunionM84.412PSsequelaM84.412S

Sub-codes of M84.412(6)

M84.412 is a non-billable header. Select a sub-code to bill.

M84.412APathological fracture, left shoulder, initial encounter for …✓ BillableM84.412DPathological fracture, left shoulder, subsequent encounter f…✓ BillableM84.412GPathological fracture, left shoulder, subsequent encounter f…✓ BillableM84.412KPathological fracture, left shoulder, subsequent encounter f…✓ BillableM84.412PPathological fracture, left shoulder, subsequent encounter f…✓ BillableM84.412SPathological fracture, left shoulder, sequela✓ Billable

Code Hierarchy

┌13Diseases of the musculoskeletal system and connective tissue (M00-M99)├M80-M85Disorders of bone density and structure (M80-M85)├M84Disorder of continuity of bone
└M84.412Pathological fracture, left shoulder

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