M84.462⚠ Requires 7th Character

Pathological fracture, left tibia

⚠ 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 M84.462:

Ainitial encounter for fractureM84.462ADsubsequent encounter for fracture with routine healingM84.462DGsubsequent encounter for fracture with delayed healingM84.462GKsubsequent encounter for fracture with nonunionM84.462KPsubsequent encounter for fracture with malunionM84.462PSsequelaM84.462S

Sub-codes of M84.462(6)

M84.462 is a non-billable header. Select a sub-code to bill.

M84.462APathological fracture, left tibia, initial encounter for fra…✓ BillableM84.462DPathological fracture, left tibia, subsequent encounter for …✓ BillableM84.462GPathological fracture, left tibia, subsequent encounter for …✓ BillableM84.462KPathological fracture, left tibia, subsequent encounter for …✓ BillableM84.462PPathological fracture, left tibia, subsequent encounter for …✓ BillableM84.462SPathological fracture, left tibia, 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
└M84.462Pathological fracture, left tibia

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