M84.411 is the authoritative medical code for Pathological fracture, right shoulder. This classification is used in medical billing and clinical recording to specify the clinical criteria for pathological fracture, right shoulder (ICD-10-CM M84.411), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Pathological fracture, right shoulder is a non-billable ICD-10-CM category code M84.411. A more specific billable subcode must be selected for claims submission. Excludes1 (not coded here): collapsed vertebra NEC M48.5; pathological fracture in neoplastic disease M84.5-; pathological fracture in osteoporosis M80.-; pathological fracture in other disease M84.6-; stress fracture M84.3-; traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-). Excludes2 (not included here): personal history of healed pathological fracture Z87.311; traumatic fracture of bone-see fracture, by site. 7th character: The appropriate 7th character is to be added to each code from subcategory M84.4:.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for M84.411 in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- collapsed vertebra NEC M48.5
- pathological fracture in neoplastic disease M84.5-
- pathological fracture in osteoporosis M80.-
- pathological fracture in other disease M84.6-
- stress fracture M84.3-
- traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- personal history of healed pathological fracture Z87.311
- traumatic fracture of bone-see fracture, by site
Frequently Asked Questions (FAQ) & Clinical Guidance
Can M84.411 be billed directly?
No. M84.411 (Pathological fracture, right shoulder) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does M84.411 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from subcategory M84.4:.
What can't be coded together with M84.411?
Per Excludes1 instructions, M84.411 must not be reported with: collapsed vertebra NEC (M48.5); pathological fracture in neoplastic disease (M84.5-); pathological fracture in osteoporosis (M80.-); pathological fracture in other disease (M84.6-).
Can M84.411 be reported alongside related conditions?
Per Excludes2 instructions, M84.411 and the following may both be reported when both are present: personal history of (healed) pathological fracture (Z87.311); traumatic fracture of bone-see fracture, by site.
Codes in This Family (40)
Official ICD-10-CM classifications in the same code family as M84.411, with their registry titles.
- M84 — Disorder of continuity of bone
- M84.3 — Stress fracture
- M84.30 — Stress fracture, unspecified site
- M84.30A — Stress fracture, unspecified site, initial encounter for fracture
- M84.30D — Stress fracture, unspecified site, subsequent encounter for fracture with routine healing
- M84.30G — Stress fracture, unspecified site, subsequent encounter for fracture with delayed healing
- M84.30K — Stress fracture, unspecified site, subsequent encounter for fracture with nonunion
- M84.30P — Stress fracture, unspecified site, subsequent encounter for fracture with malunion
- M84.30S — Stress fracture, unspecified site, sequela
- M84.30XA — Stress fracture, unspecified site, initial encounter for fracture
- M84.30XD — Stress fracture, unspecified site, subsequent encounter for fracture with routine healing
- M84.30XG — Stress fracture, unspecified site, subsequent encounter for fracture with delayed healing
- M84.30XK — Stress fracture, unspecified site, subsequent encounter for fracture with nonunion
- M84.30XP — Stress fracture, unspecified site, subsequent encounter for fracture with malunion
- M84.30XS — Stress fracture, unspecified site, sequela
- M84.31 — Stress fracture, shoulder
- M84.311 — Stress fracture, right shoulder
- M84.311A — Stress fracture, right shoulder, initial encounter for fracture
- M84.311D — Stress fracture, right shoulder, subsequent encounter for fracture with routine healing
- M84.311G — Stress fracture, right shoulder, subsequent encounter for fracture with delayed healing
- M84.311K — Stress fracture, right shoulder, subsequent encounter for fracture with nonunion
- M84.311P — Stress fracture, right shoulder, subsequent encounter for fracture with malunion
- M84.311S — Stress fracture, right shoulder, sequela
- M84.312 — Stress fracture, left shoulder
- M84.312A — Stress fracture, left shoulder, initial encounter for fracture
- M84.312D — Stress fracture, left shoulder, subsequent encounter for fracture with routine healing
- M84.312G — Stress fracture, left shoulder, subsequent encounter for fracture with delayed healing
- M84.312K — Stress fracture, left shoulder, subsequent encounter for fracture with nonunion
- M84.312P — Stress fracture, left shoulder, subsequent encounter for fracture with malunion
- M84.312S — Stress fracture, left shoulder, sequela
- M84.319 — Stress fracture, unspecified shoulder
- M84.319A — Stress fracture, unspecified shoulder, initial encounter for fracture
- M84.319D — Stress fracture, unspecified shoulder, subsequent encounter for fracture with routine healing
- M84.319G — Stress fracture, unspecified shoulder, subsequent encounter for fracture with delayed healing
- M84.319K — Stress fracture, unspecified shoulder, subsequent encounter for fracture with nonunion
- M84.319P — Stress fracture, unspecified shoulder, subsequent encounter for fracture with malunion
- M84.319S — Stress fracture, unspecified shoulder, sequela
- M84.32 — Stress fracture, humerus
- M84.321 — Stress fracture, right humerus
- M84.321A — Stress fracture, right humerus, initial encounter for fracture
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures: