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M84.552 vs M84.553

M84.552 (Pathological fracture in neoplastic disease, left femur) compared with M84.553 (Pathological fracture in neoplastic disease, unspecified femur), from the official CMS tabular data. M84.552 and M84.553 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M84.552
Left
Pathological fracture in neoplastic disease, left femur
M84.553
Unspecified
Pathological fracture in neoplastic disease, 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. M84.552 and M84.553 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

M84.552Pathological fracture in neoplastic disease, left femurM84.553Pathological fracture in neoplastic disease, unspecified femur
Billing statusNon-billable header

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

Non-billable header

Report instead: M84.553A, M84.553D, M84.553G, M84.553K, M84.553P

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 in neoplastic disease, left femur is a non-billable ICD-10-CM category code (M84.552).Pathological fracture in neoplastic disease, unspecified femur is a non-billable ICD-10-CM category code (M84.553).
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