M84.422S (Pathological fracture, left humerus, sequela) compared with M84.429S (Pathological fracture, unspecified humerus, sequela), from the official CMS tabular data. M84.422S and M84.429S code the same condition on opposite sides.
Same condition; these differ only in which side is documented.
These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.
Source: ICD-10-CM tabular list (laterality variant derived from the code title)
Same condition, opposite side. M84.422S and M84.429S name the same condition on opposite sides of the body.
Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.
| M84.422SPathological fracture, left humerus, sequela | M84.429SPathological fracture, unspecified humerus, sequela | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) |
| Definition | Pathological fracture, left humerus, sequela is a billable ICD-10-CM diagnosis code (M84.422S). | Pathological fracture, unspecified humerus, sequela is a billable ICD-10-CM diagnosis code (M84.429S). |
| 7th character | The appropriate 7th character is to be added to each code from subcategory M84.4: | The appropriate 7th character is to be added to each code from subcategory M84.4: |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources