M84.411⚠ Requires 7th Character

Pathological fracture, right 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 M84.411:

Ainitial encounter for fractureM84.411ADsubsequent encounter for fracture with routine healingM84.411DGsubsequent encounter for fracture with delayed healingM84.411GKsubsequent encounter for fracture with nonunionM84.411KPsubsequent encounter for fracture with malunionM84.411PSsequelaM84.411S

Sub-codes of M84.411(6)

M84.411 is a non-billable header. Select a sub-code to bill.

M84.411APathological fracture, right shoulder, initial encounter for…✓ BillableM84.411DPathological fracture, right shoulder, subsequent encounter …✓ BillableM84.411GPathological fracture, right shoulder, subsequent encounter …✓ BillableM84.411KPathological fracture, right shoulder, subsequent encounter …✓ BillableM84.411PPathological fracture, right shoulder, subsequent encounter …✓ BillableM84.411SPathological fracture, right 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
└M84.411Pathological fracture, right shoulder

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