M84.475⚠ Requires 7th Character

Pathological fracture, left foot

⚠ 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 M84.475:

Ainitial encounter for fractureM84.475ADsubsequent encounter for fracture with routine healingM84.475DGsubsequent encounter for fracture with delayed healingM84.475GKsubsequent encounter for fracture with nonunionM84.475KPsubsequent encounter for fracture with malunionM84.475PSsequelaM84.475S

Sub-codes of M84.475(6)

M84.475 is a non-billable header. Select a sub-code to bill.

M84.475APathological fracture, left foot, initial encounter for frac…✓ BillableM84.475DPathological fracture, left foot, subsequent encounter for f…✓ BillableM84.475GPathological fracture, left foot, subsequent encounter for f…✓ BillableM84.475KPathological fracture, left foot, subsequent encounter for f…✓ BillableM84.475PPathological fracture, left foot, subsequent encounter for f…✓ BillableM84.475SPathological fracture, left foot, 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
└M84.475Pathological fracture, left foot

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