ICD-10-CM Codes
M00-M99 Diseases of the musculoskeletal system and connective tissue
M80-M85 Disorders of bone density and structure
M84- Disorder of continuity of bone
2021 ICD-10-CM Diagnosis Code M84.68

2021 ICD-10-CM Diagnosis Code M84.68

Pathological fracture in other disease, other site

2016

2017

2018

2019

2020

2021

Non-Billable/Non-Specific Code

M84.68 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The 2021 edition of ICD-10-CM M84.68 became effective on October 1, 2020.
This is the American ICD-10-CM version of M84.68 - other international versions of ICD-10 M84.68 may differ.

The following code(s) above M84.68 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 M84.68:

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
Type 2 Excludes
- traumatic fracture of bone-see fracture, by site
Disorder of continuity of bone
M84.6
ICD-10-CM Diagnosis Code M84.6
Pathological fracture in other disease
Code Also
- underlying condition
Type 1 Excludes
- pathological fracture in osteoporosis (M80.-)
Pathological fracture in other disease

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

Code annotations containing back-references to M84.68:

Type 1 Excludes: M48.4
, M48.5

ICD-10-CM Diagnosis Code M48.4
Fatigue fracture of vertebra
Applicable To
- Stress fracture of vertebra
Type 1 Excludes
- pathological fracture NOS (M84.4-)
- pathological fracture of vertebra due to neoplasm (M84.58)
- pathological fracture of vertebra due to other diagnosis (M84.68)
- pathological fracture of vertebra due to osteoporosis (M80.-)
- traumatic fracture of vertebrae (S12.0-S12.3-, S22.0-, S32.0-)
ICD-10-CM Diagnosis Code M48.5
Collapsed vertebra, not elsewhere classified
Applicable To
- Collapsed vertebra NOS
- Compression fracture of vertebra NOS
- Wedging of vertebra NOS
Type 1 Excludes
- current injury - see Injury of spine, by body region
- fatigue fracture of vertebra (M48.4)
- pathological fracture of vertebra due to neoplasm (M84.58)
- pathological fracture of vertebra due to other diagnosis (M84.68)
- pathological fracture of vertebra due to osteoporosis (M80.-)
- pathological fracture NOS (M84.4-)
- stress fracture of vertebra (M48.4-)
- traumatic fracture of vertebra (S12.-, S22.-, S32.-)

Diagnosis Index entries containing back-references to M84.68:

Fracture, pathological (pathologic) - see also Fracture, traumatic M84.40
- due to
  - specified disease NEC M84.60
    ICD-10-CM Diagnosis Code M84.60
    Pathological fracture in other disease, unspecified site
    2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    - neck M84.68
    - rib M84.68
    - skull M84.68
    - vertebra M84.68

ICD-10-CM Codes Adjacent To M84.68

M84.675K …… subsequent encounter for fracture with nonunion

M84.675P …… subsequent encounter for fracture with malunion

M84.675S …… sequela

M84.676 Pathological fracture in other disease, unspecified foot

M84.676A …… initial encounter for fracture

M84.676D …… subsequent encounter for fracture with routine healing

M84.676G …… subsequent encounter for fracture with delayed healing

M84.676K …… subsequent encounter for fracture with nonunion

M84.676P …… subsequent encounter for fracture with malunion

M84.676S …… sequela

M84.68 Pathological fracture in other disease, other site

M84.68XA …… initial encounter for fracture

M84.68XD …… subsequent encounter for fracture with routine healing

M84.68XG …… subsequent encounter for fracture with delayed healing

M84.68XK …… subsequent encounter for fracture with nonunion

M84.68XP …… subsequent encounter for fracture with malunion

M84.68XS …… sequela

M84.7 Nontraumatic fracture, not elsewhere classified

M84.75 Atypical femoral fracture

M84.750 Atypical femoral fracture, unspecified

M84.750A …… initial encounter for fracture

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

2021 ICD-10-CM Diagnosis Code M84.68

Pathological fracture in other disease, other site

Diseases of the musculoskeletal system and connective tissue

Disorder of continuity of bone

Pathological fracture in other disease

Fatigue fracture of vertebra

Collapsed vertebra, not elsewhere classified

Pathological fracture in other disease, unspecified site