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M84.551 vs M84.552

M84.551 (Pathological fracture in neoplastic disease, right femur) compared with M84.552 (Pathological fracture in neoplastic disease, left femur), from the official CMS tabular data. M84.551 and M84.552 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

M84.551
Right
Pathological fracture in neoplastic disease, right femur
M84.552
Left
Pathological fracture in neoplastic disease, left 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. M84.551 and M84.552 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

M84.551Pathological fracture in neoplastic disease, right femurM84.552Pathological fracture in neoplastic disease, left femur
Billing statusNon-billable header

Report instead: M84.551A, M84.551D, M84.551G, M84.551K, M84.551P

Non-billable header

Report instead: M84.552A, M84.552D, M84.552G, M84.552K, M84.552P

ClassificationM00-M99 — Diseases of the musculoskeletal system and connective tissueM00-M99 — Diseases of the musculoskeletal system and connective tissue
DefinitionPathological fracture in neoplastic disease, right femur is a non-billable ICD-10-CM category code (M84.551).Pathological fracture in neoplastic disease, left femur is a non-billable ICD-10-CM category code (M84.552).
7th characterThe appropriate 7th character is to be added to each code from subcategory M84.5:The appropriate 7th character is to be added to each code from subcategory M84.5:

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources