M84.478⚠ Requires 7th Character

Pathological fracture, left toe(s)

⚠ 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 M84.478:

Ainitial encounter for fractureM84.478ADsubsequent encounter for fracture with routine healingM84.478DGsubsequent encounter for fracture with delayed healingM84.478GKsubsequent encounter for fracture with nonunionM84.478KPsubsequent encounter for fracture with malunionM84.478PSsequelaM84.478S

Sub-codes of M84.478(6)

M84.478 is a non-billable header. Select a sub-code to bill.

M84.478APathological fracture, left toe(s), initial encounter for fr…✓ BillableM84.478DPathological fracture, left toe(s), subsequent encounter for…✓ BillableM84.478GPathological fracture, left toe(s), subsequent encounter for…✓ BillableM84.478KPathological fracture, left toe(s), subsequent encounter for…✓ BillableM84.478PPathological fracture, left toe(s), subsequent encounter for…✓ BillableM84.478SPathological fracture, left toe(s), 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
└M84.478Pathological fracture, left toe(s)

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