M84.474P (Pathological fracture, right foot, subsequent encounter for fracture with malunion) compared with M84.475P (Pathological fracture, left foot, subsequent encounter for fracture with malunion), from the official CMS tabular data. M84.474P and M84.475P code the same condition on opposite sides. MedCoder-derived
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. M84.474P and M84.475P 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.
| M84.474PPathological fracture, right foot, subsequent encounter for fracture with malunion | M84.475PPathological fracture, left foot, subsequent encounter for fracture with malunion | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | M00-M99 — Diseases of the musculoskeletal system and connective tissue | M00-M99 — Diseases of the musculoskeletal system and connective tissue |
| Definition | Pathological fracture, right foot, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (M84.474P). | Pathological fracture, left foot, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (M84.475P). |
| 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