M84.474⚠ Requires 7th Character

Pathological fracture, right foot

⚠ 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 M84.474:

Ainitial encounter for fractureM84.474ADsubsequent encounter for fracture with routine healingM84.474DGsubsequent encounter for fracture with delayed healingM84.474GKsubsequent encounter for fracture with nonunionM84.474KPsubsequent encounter for fracture with malunionM84.474PSsequelaM84.474S

Sub-codes of M84.474(6)

M84.474 is a non-billable header. Select a sub-code to bill.

M84.474APathological fracture, right foot, initial encounter for fra…✓ BillableM84.474DPathological fracture, right foot, subsequent encounter for …✓ BillableM84.474GPathological fracture, right foot, subsequent encounter for …✓ BillableM84.474KPathological fracture, right foot, subsequent encounter for …✓ BillableM84.474PPathological fracture, right foot, subsequent encounter for …✓ BillableM84.474SPathological fracture, right foot, 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
└M84.474Pathological fracture, right foot

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