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M84.471 vs M84.473

M84.471 (Pathological fracture, right ankle) compared with M84.473 (Pathological fracture, unspecified ankle), from the official CMS tabular data. M84.471 and M84.473 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M84.471
Right
Pathological fracture, right ankle
M84.473
Unspecified
Pathological fracture, unspecified ankle

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. M84.471 and M84.473 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

M84.471Pathological fracture, right ankleM84.473Pathological fracture, unspecified ankle
Billing statusNon-billable header

Report instead: M84.471A, M84.471D, M84.471G, M84.471K, M84.471P

Non-billable header

Report instead: M84.473A, M84.473D, M84.473G, M84.473K, M84.473P

ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionPathological fracture, right ankle is a non-billable ICD-10-CM category code (M84.471).Pathological fracture, unspecified ankle is a non-billable ICD-10-CM category code (M84.473).
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