M84.461⚠ Requires 7th Character

Pathological fracture, right tibia

⚠ 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 M84.461:

Ainitial encounter for fractureM84.461ADsubsequent encounter for fracture with routine healingM84.461DGsubsequent encounter for fracture with delayed healingM84.461GKsubsequent encounter for fracture with nonunionM84.461KPsubsequent encounter for fracture with malunionM84.461PSsequelaM84.461S

Sub-codes of M84.461(6)

M84.461 is a non-billable header. Select a sub-code to bill.

M84.461APathological fracture, right tibia, initial encounter for fr…✓ BillableM84.461DPathological fracture, right tibia, subsequent encounter for…✓ BillableM84.461GPathological fracture, right tibia, subsequent encounter for…✓ BillableM84.461KPathological fracture, right tibia, subsequent encounter for…✓ BillableM84.461PPathological fracture, right tibia, subsequent encounter for…✓ BillableM84.461SPathological fracture, right tibia, 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
└M84.461Pathological fracture, right tibia

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