M84.419⚠ Requires 7th Character

Pathological fracture, unspecified 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 M84.419:

Ainitial encounter for fractureM84.419ADsubsequent encounter for fracture with routine healingM84.419DGsubsequent encounter for fracture with delayed healingM84.419GKsubsequent encounter for fracture with nonunionM84.419KPsubsequent encounter for fracture with malunionM84.419PSsequelaM84.419S

Sub-codes of M84.419(6)

M84.419 is a non-billable header. Select a sub-code to bill.

M84.419APathological fracture, unspecified shoulder, initial encount…✓ BillableM84.419DPathological fracture, unspecified shoulder, subsequent enco…✓ BillableM84.419GPathological fracture, unspecified shoulder, subsequent enco…✓ BillableM84.419KPathological fracture, unspecified shoulder, subsequent enco…✓ BillableM84.419PPathological fracture, unspecified shoulder, subsequent enco…✓ BillableM84.419SPathological fracture, unspecified 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
└M84.419Pathological fracture, unspecified shoulder

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