M84.511
Pathological fracture in neoplastic disease, right shoulder
M84.511 is a non-billable ICD-10-CM code header for pathological fracture in neoplastic disease, right shoulder. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. A 7th character is required to complete the code. Its coding notes include a Code also instruction and 11 Excludes2 entries.
7th character
Category M84.5 requires a 7th character.
Guidelines tips
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
Sequencing depends on the focus of treatment: the fracture or the neoplasm.
7th character A applies while the patient is in active treatment, regardless of which provider sees them. D is for routine care during healing after active treatment ends.
Code also
Two codes may be needed to describe the condition. This note gives no sequencing order.
- underlying neoplasm
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
- traumatic fracture of bone-see fracture, by site
Also from chapter/block level (10 notes)
- 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)
Notes
Also from chapter/block level (1 note)
- Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
7th-character codes under M84.511 6
- M84.511APathological fracture in neoplastic disease, right shoulder, initial encounter for fractureBillable
- M84.511DPathological fracture in neoplastic disease, right shoulder, subsequent encounter for fracture with routine healingBillable
- M84.511GPathological fracture in neoplastic disease, right shoulder, subsequent encounter for fracture with delayed healingBillable
- M84.511KPathological fracture in neoplastic disease, right shoulder, subsequent encounter for fracture with nonunionBillable
- M84.511PPathological fracture in neoplastic disease, right shoulder, subsequent encounter for fracture with malunionBillable
- M84.511SPathological fracture in neoplastic disease, right shoulder, sequelaBillable