M84.429⚠ Requires 7th Character

Pathological fracture, unspecified humerus

⚠ 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 M84.429:

Ainitial encounter for fractureM84.429ADsubsequent encounter for fracture with routine healingM84.429DGsubsequent encounter for fracture with delayed healingM84.429GKsubsequent encounter for fracture with nonunionM84.429KPsubsequent encounter for fracture with malunionM84.429PSsequelaM84.429S

Sub-codes of M84.429(6)

M84.429 is a non-billable header. Select a sub-code to bill.

M84.429APathological fracture, unspecified humerus, initial encounte…✓ BillableM84.429DPathological fracture, unspecified humerus, subsequent encou…✓ BillableM84.429GPathological fracture, unspecified humerus, subsequent encou…✓ BillableM84.429KPathological fracture, unspecified humerus, subsequent encou…✓ BillableM84.429PPathological fracture, unspecified humerus, subsequent encou…✓ BillableM84.429SPathological fracture, unspecified humerus, 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
└M84.429Pathological fracture, unspecified humerus

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