2021 ICD-10-CM Diagnosis Code M84.58XA

Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • M84.58XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Pathological fracture in neoplastic disease, oth site, init
  • The 2021 edition of ICD-10-CM M84.58XA became effective on October 1, 2020.
  • This is the American ICD-10-CM version of M84.58XA - other international versions of ICD-10 M84.58XA may differ.
The following code(s) above M84.58XA contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M84.58XA:
  • M00-M99
    2021 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • arthropathic psoriasis (L40.5-)
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • compartment syndrome (traumatic) (T79.A-)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the musculoskeletal system and connective tissue
  • M84
    ICD-10-CM Diagnosis Code M84

    Disorder of continuity of bone

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • traumatic fracture of bone-see fracture, by site
    Disorder of continuity of bone
  • M84.5
    ICD-10-CM Diagnosis Code M84.5

    Pathological fracture in neoplastic disease

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Code Also
    • underlying neoplasm
    Pathological fracture in neoplastic disease
  • M84.58
    ICD-10-CM Diagnosis Code M84.58

    Pathological fracture in neoplastic disease, other specified site

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Pathological fracture in neoplastic disease, vertebrae
    Pathological fracture in neoplastic disease, other specified site
Approximate Synonyms
  • Pathological fracture due to neoplasm of cervical vertebra
  • Pathological fracture due to neoplasm of lumbar vertebra
  • Pathological fracture due to neoplasm of sacral vertebra
  • Pathological fracture due to neoplasm of thoracic vertebra
  • Pathological fracture due to neoplasm of vertebra
  • Pathological fracture of cervical vertebra due to neoplasm
  • Pathological fracture of lumbar vertebra due to neoplasm
  • Pathological fracture of sacral vertebra due to neoplasm
  • Pathological fracture of thoracic vertebra due to neoplasm
  • Pathological fracture of vertebra due to neoplasm
  • Vertebra (back bone) fracture due to tumor
ICD-10-CM M84.58XA is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 456 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with mcc
  • 457 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with cc
  • 458 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions without cc/mcc
  • 542 Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
  • 543 Pathological fractures and musculoskeletal and connective tissue malignancy with cc
  • 544 Pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert M84.58XA to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
ICD-10-CM Codes Adjacent To M84.58XA
M84.575P …… subsequent encounter for fracture with malunion
M84.575S …… sequela
M84.576 Pathological fracture in neoplastic disease, unspecified foot
M84.576A …… initial encounter for fracture
M84.576D …… subsequent encounter for fracture with routine healing
M84.576G …… subsequent encounter for fracture with delayed healing
M84.576K …… subsequent encounter for fracture with nonunion
M84.576P …… subsequent encounter for fracture with malunion
M84.576S …… sequela
M84.58 Pathological fracture in neoplastic disease, other specified site
M84.58XA …… initial encounter for fracture
M84.58XD …… subsequent encounter for fracture with routine healing
M84.58XG …… subsequent encounter for fracture with delayed healing
M84.58XK …… subsequent encounter for fracture with nonunion
M84.58XP …… subsequent encounter for fracture with malunion
M84.58XS …… sequela
M84.6 Pathological fracture in other disease
M84.60 Pathological fracture in other disease, unspecified site
M84.60XA …… initial encounter for fracture
M84.60XD …… subsequent encounter for fracture with routine healing
M84.60XG …… subsequent encounter for fracture with delayed healing

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.