{"code":"M84.5","type":"code","title":"Pathological fracture in neoplastic disease","codeAlso":["underlying neoplasm"],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":[],"excludes2":["traumatic fracture of bone-see fracture, by site"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true},"inclusionTerms":[],"useAdditionalCode":[],"clinicalDefinition":"Pathological fracture in neoplastic disease is a non-billable ICD-10-CM category code (M84.5). A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): traumatic fracture of bone-see fracture, by site. Code also: underlying neoplasm. 7th character: The appropriate 7th character is to be added to each code from subcategory M84.5:.","officialDefinition":"Pathological fracture in neoplastic disease is a non-billable ICD-10-CM category code (M84.5). A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): traumatic fracture of bone-see fracture, by site. Code also: underlying neoplasm. 7th character: The appropriate 7th character is to be added to each code from subcategory M84.5:.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from subcategory M84.5:","A: initial encounter for fracture","D: subsequent encounter for fracture with routine healing","G: subsequent encounter for fracture with delayed healing","K: subsequent encounter for fracture with nonunion","P: subsequent encounter for fracture with malunion","S: sequela"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}