M84.61
Header — not billablePathological fracture in other disease, shoulder
The ICD-10 code for pathological fracture in other disease, shoulder is M84.61.
M84.61 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 3 more specific codes below.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- M84.60Pathological fracture in other disease, unspecified site
- M84.62Pathological fracture in other disease, humerusnon-billable header
- M84.63Pathological fracture in other disease, ulna and radiusnon-billable header
- M84.64Pathological fracture in other disease, handnon-billable header
- M84.65Pathological fracture in other disease, pelvis and femurnon-billable header
- M84.66Pathological fracture in other disease, tibia and fibulanon-billable header
- M84.67Pathological fracture in other disease, ankle and footnon-billable header
- M84.68Pathological fracture in other disease, other site
- M84.61Pathological fracture in other disease, shouldernon-billable header