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M84.477 vs M84.479

M84.477 (Pathological fracture, right toe(s)) compared with M84.479 (Pathological fracture, unspecified toe(s)), from the official CMS tabular data. M84.477 and M84.479 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M84.477
Right
Pathological fracture, right toe(s)
M84.479
Unspecified
Pathological fracture, unspecified toe(s)

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. M84.477 and M84.479 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

M84.477Pathological fracture, right toe(s)M84.479Pathological fracture, unspecified toe(s)
Billing statusNon-billable header

Report instead: M84.477A, M84.477D, M84.477G, M84.477K, M84.477P

Non-billable header

Report instead: M84.479A, M84.479D, M84.479G, M84.479K, M84.479P

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, right toe(s) is a non-billable ICD-10-CM category code (M84.477).Pathological fracture, unspecified toe(s) is a non-billable ICD-10-CM category code (M84.479).
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