M84.469⚠ Requires 7th Character

Pathological fracture, unspecified tibia and fibula

⚠ 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 M84.469:

Ainitial encounter for fractureM84.469ADsubsequent encounter for fracture with routine healingM84.469DGsubsequent encounter for fracture with delayed healingM84.469GKsubsequent encounter for fracture with nonunionM84.469KPsubsequent encounter for fracture with malunionM84.469PSsequelaM84.469S

Sub-codes of M84.469(6)

M84.469 is a non-billable header. Select a sub-code to bill.

M84.469APathological fracture, unspecified tibia and fibula, initial…✓ BillableM84.469DPathological fracture, unspecified tibia and fibula, subsequ…✓ BillableM84.469GPathological fracture, unspecified tibia and fibula, subsequ…✓ BillableM84.469KPathological fracture, unspecified tibia and fibula, subsequ…✓ BillableM84.469PPathological fracture, unspecified tibia and fibula, subsequ…✓ BillableM84.469SPathological fracture, unspecified tibia and fibula, 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
└M84.469Pathological fracture, unspecified tibia and fibula

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