M84.751P ICD-10-CM Code: Incomplete atypical femoral fracture, right leg, subsequent encounter for fracture with malunion
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 521 — HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC (MDC 08)
- MS-DRG 522 — HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC (MDC 08)
- MS-DRG 564 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC (MDC 08)
- MS-DRG 565 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC (MDC 08)
- MS-DRG 566 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC (MDC 08)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for M84.751P in the official ICD-10-CM tabular list.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- traumatic fracture of bone-see fracture, by site
Change history
- FY2017 — 2016-10-01Added to the code setIncomplete atypical femoral fracture, right leg, subsequent encounter for fracture with malunionFY2017 changes
Verify Before Coding
- Billable — reportable as written.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of M84.751P in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- M00-M99 — Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) (M00-M99) [Hierarchy]
- M80-M85 — Disorders of bone density and structure [Hierarchy]
Clinical classification (CCSR)
- MUS019 — Atypical fracture, subsequent encounter [CCSR]
Potential MS-DRG
- DRG 521 — HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC [MS-DRG]: “HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC (MDC 08)”
- DRG 522 — HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC [MS-DRG]: “HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC (MDC 08)”
- DRG 564 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC (MDC 08)”
- DRG 565 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC (MDC 08)”
- DRG 566 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC (MDC 08)”
MDC crossing · procedures (18508)
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue [MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 005T0ZZ — Destruction of Spinal Meninges, Open Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T3ZZ — Destruction of Spinal Meninges, Percutaneous Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T4ZZ — Destruction of Spinal Meninges, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Endoscopic Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0Z3 — Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0ZZ — Destruction of Cervical Spinal Cord, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- and 18503 more
Index entries
- Fracture, nontraumatic, NEC, atypical, femur, incomplete, right side[Index term]
Nearest codes (40)
- M84 — Disorder of continuity of bone [Sibling]
- M84.68XA — Pathological fracture in other disease, other site, initial encounter for fracture [Sibling]
- M84.68XD — Pathological fracture in other disease, other site, subsequent encounter for fracture with routine healing [Sibling]
- M84.68XG — Pathological fracture in other disease, other site, subsequent encounter for fracture with delayed healing [Sibling]
- M84.68XK — Pathological fracture in other disease, other site, subsequent encounter for fracture with nonunion [Sibling]
- M84.68XP — Pathological fracture in other disease, other site, subsequent encounter for fracture with malunion [Sibling]
- M84.68XS — Pathological fracture in other disease, other site, sequela [Sibling]
- M84.7 — Nontraumatic fracture, not elsewhere classified [Sibling]
- and 32 more
Change history
- FY2017 — Added to the code set [Change history]
Relationships & Classification
Clinical classification (AHRQ CCSR):MUS019 — Atypical fracture, subsequent encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 5 MS-DRGs: DRG 521 (MDC 08), DRG 522 (MDC 08), DRG 564 (MDC 08), DRG 565 (MDC 08), DRG 566 (MDC 08).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Frequently Asked Questions (FAQ) & Clinical Guidance
Does M84.751P require a 7th character?
Yes. The appropriate 7th character is to be added to each code from M84.75:.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to M84.751P in its code family, with their registry titles.
- M84.751 — Incomplete atypical femoral fracture, right leg
- M84.751A — Incomplete atypical femoral fracture, right leg, initial encounter for fracture
- M84.751D — Incomplete atypical femoral fracture, right leg, subsequent encounter for fracture with routine healing
- M84.751G — Incomplete atypical femoral fracture, right leg, subsequent encounter for fracture with delayed healing
- M84.751K — Incomplete atypical femoral fracture, right leg, subsequent encounter for fracture with nonunion
- M84.751S — Incomplete atypical femoral fracture, right leg, sequela
- M84.752 — Incomplete atypical femoral fracture, left leg
- M84.752A — Incomplete atypical femoral fracture, left leg, initial encounter for fracture
- M84.752D — Incomplete atypical femoral fracture, left leg, subsequent encounter for fracture with routine healing
- M84.752G — Incomplete atypical femoral fracture, left leg, subsequent encounter for fracture with delayed healing
Indexed Clinical Terms (1)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Fracture, nontraumatic, NEC, atypical, femur, incomplete, right side