M84.5 Pathological fracture in neoplastic disease

The ICD-10-CM code for Pathological fracture in neoplastic disease is M84.5 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Chapter

13: Diseases of the musculoskeletal system and connective tissue (M00-M99)

Section

M80-M85: Disorders of bone density and structure (M80-M85)

Category M84

221 codes (178 billable)

FY2026 Status

Stable since FY2024

Official Coding Guidelines

Pathological fracture due to neoplasm (focus on fracture)

When an encounter is for a pathological fracture due to a neoplasm, and the focus of treatment is the fracture, a code from subcategory M84.5, Pathological fracture in neoplastic disease, should be sequenced first, followed by the code for the neoplasm.

Pathological fracture due to neoplasm (focus on neoplasm)

If the focus of treatment is the neoplasm with an associated pathological fracture, the neoplasm code should be sequenced first, followed by a code from M84.5 for the pathological fracture.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool

Cite This Page

Reference M84.5 with the canonical source and edition:

M84.5 — Pathological fracture in neoplastic disease. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/M84.5

Canonical URL: https://icd10codingpro.com/codes/M84.5