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M84.452 vs M84.453

M84.452 (Pathological fracture, left femur) compared with M84.453 (Pathological fracture, unspecified femur), from the official CMS tabular data. M84.452 and M84.453 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M84.452
Left
Pathological fracture, left femur
M84.453
Unspecified
Pathological fracture, unspecified femur

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)

Can these codes be reported together?

Same condition, opposite side. M84.452 and M84.453 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.

Side by side

M84.452Pathological fracture, left femurM84.453Pathological fracture, unspecified femur
Billing statusNon-billable header

Report instead: M84.452A, M84.452D, M84.452G, M84.452K, M84.452P

Non-billable header

Report instead: M84.453A, M84.453D, M84.453G, M84.453K, M84.453P

ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionPathological fracture, left femur is a non-billable ICD-10-CM category code (M84.452).Pathological fracture, unspecified femur is a non-billable ICD-10-CM category code (M84.453).
7th characterThe 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