M84.422⚠ Requires 7th Character

Pathological fracture, left humerus

⚠ 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 M84.422:

Ainitial encounter for fractureM84.422ADsubsequent encounter for fracture with routine healingM84.422DGsubsequent encounter for fracture with delayed healingM84.422GKsubsequent encounter for fracture with nonunionM84.422KPsubsequent encounter for fracture with malunionM84.422PSsequelaM84.422S

Sub-codes of M84.422(6)

M84.422 is a non-billable header. Select a sub-code to bill.

M84.422APathological fracture, left humerus, initial encounter for f…✓ BillableM84.422DPathological fracture, left humerus, subsequent encounter fo…✓ BillableM84.422GPathological fracture, left humerus, subsequent encounter fo…✓ BillableM84.422KPathological fracture, left humerus, subsequent encounter fo…✓ BillableM84.422PPathological fracture, left humerus, subsequent encounter fo…✓ BillableM84.422SPathological fracture, left humerus, 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
└M84.422Pathological fracture, left humerus

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