M84.60

⚠ Non-billable (Header)

Pathological fracture in other disease, unspecified site

Diseases of the musculoskeletal system and connective tissue (M00-M99)

⚠️ This is a category header code — not billable. Use a more specific child code below.

Check This Code

❌ Excludes1

inherited

Rules inherited from parent codes in the hierarchy.

M84.6

• pathological fracture in osteoporosis (M80.-)

⚠️ Excludes2

inherited

Rules inherited from parent codes.

M84

• traumatic fracture of bone-see fracture, by site

Child Codes (6)

M84.60XAPathological fracture in other disease, unspecified site, initial encounter for fracture✓ Billable M84.60XDPathological fracture in other disease, unspecified site, subsequent encounter for fracture with routine healing✓ Billable M84.60XGPathological fracture in other disease, unspecified site, subsequent encounter for fracture with delayed healing✓ Billable M84.60XKPathological fracture in other disease, unspecified site, subsequent encounter for fracture with nonunion✓ Billable M84.60XPPathological fracture in other disease, unspecified site, subsequent encounter for fracture with malunion✓ Billable M84.60XSPathological fracture in other disease, unspecified site, sequela✓ Billable

Clinical Description

ICD-10-CM code M84.60 represents pathological fracture in other disease, unspecified site. This code falls under the Diseases of the musculoskeletal system and connective tissue (M00-M99) classification. It is a non-billable category header code. A more specific child code from the list below must be used for billing and reimbursement purposes.

This is a 6-character code at the 5th level of specificity. There are 6 more specific child codes under M84.60. Coders should note that M84.60 has 1 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.

Frequently Asked Questions

What is ICD-10 code M84.60?

ICD-10-CM code M84.60 is "Pathological fracture in other disease, unspecified site". It belongs to the category: Diseases of the musculoskeletal system and connective tissue (M00-M99).

Is M84.60 a billable ICD-10 code?

No, M84.60 is a non-billable header code. A more specific child code must be used for billing.

What codes are excluded with M84.60?

M84.60 has 1 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

Can M84.60 be coded with other codes?

M84.60 has 1 Excludes2 note(s). These conditions can be coded together if both are documented in the patient record.

Related Codes in M84.6

Other codes in the same category that may be relevant for differential coding:

M84.61Pathological fracture in other disease, shoulder M84.62Pathological fracture in other disease, humerus M84.63Pathological fracture in other disease, ulna and radius M84.64Pathological fracture in other disease, hand M84.65Pathological fracture in other disease, pelvis and femur M84.66Pathological fracture in other disease, tibia and fibula M84.67Pathological fracture in other disease, ankle and foot M84.68Pathological fracture in other disease, other site

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Code Information

CodeM84.60

BillableNo — Header code

ParentM84.6

CategoryDiseases of the musculoskeletal system and connective tissue (M00-M99)

Excludes11 rule(s)

Excludes21 note(s)

Child codes6

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)