M84.572K (Pathological fracture in neoplastic disease, left ankle, subsequent encounter for fracture with nonunion)
compared with
M84.573K (Pathological fracture in neoplastic disease, unspecified ankle, subsequent encounter for fracture with nonunion),
from the official CMS tabular data. M84.572K and M84.573K code the same condition on opposite sides. MedCoder-derived
Pathological fracture in neoplastic disease, unspecified ankle, subsequent encounter for fracture with nonunion
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. M84.572K and M84.573K 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.
M00-M99 — Diseases of the musculoskeletal system and connective tissue
M00-M99 — Diseases of the musculoskeletal system and connective tissue
Definition
Pathological fracture in neoplastic disease, left ankle, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (M84.572K).
Pathological fracture in neoplastic disease, unspecified ankle, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (M84.573K).
7th character
The 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: