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ICD-10-CM 2027 diagnosis code

M84.474Pathological fracture, right foot

Not billable — use a more specific codeRequires 7th character

M84.474 is a header code, so it can't be reported by itself. Choose one of the 6 more specific codes beneath it and add the required 7th character.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About M84.474

M84.474 is the ICD-10-CM diagnosis code for pathological fracture, right foot. It belongs to category M84 (disorder of continuity of bone), block M80-M85 (disorders of bone density and structure) and chapter 13 (diseases of the musculoskeletal system and connective tissue). It is a header code, so it can't be reported by itself; one of its 6 subcodes must be used instead.

Within M84.47 (pathological fracture, ankle, foot and toes), M84.474 is specifically for pathological fracture, right foot. Related codes cover right ankle (M84.471), left ankle (M84.472), unspecified ankle (M84.473), left foot (M84.475), unspecified foot (M84.476), right toe(s) (M84.477), left toe(s) (M84.478) and unspecified toe(s) (M84.479).

Codes in this range require a 7th character: A for initial encounter for fracture, D for subsequent encounter for fracture with routine healing, G for subsequent encounter for fracture with delayed healing, K for subsequent encounter for fracture with nonunion, P for subsequent encounter for fracture with malunion and S for sequela. Use placeholder "X" characters to fill any empty positions before the 7th character.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

7th character

The appropriate 7th character is to be added to each code from subcategory M84.4:

  • Ainitial encounter for fractureM84.474A
  • Dsubsequent encounter for fracture with routine healingM84.474D
  • Gsubsequent encounter for fracture with delayed healingM84.474G
  • Ksubsequent encounter for fracture with nonunionM84.474K
  • Psubsequent encounter for fracture with malunionM84.474P
  • SsequelaM84.474S

Notes that apply from higher levels

Instructions written at a parent level also apply to M84.474.

› From M84.4 Pathological fracture, not elsewhere classified
Excludes1
  • collapsed vertebra NEC (M48.5)
  • pathological fracture in neoplastic disease (M84.5-)
  • pathological fracture in osteoporosis (M80.-)
  • pathological fracture in other disease (M84.6-)
  • stress fracture (M84.3-)
  • traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
Excludes2
  • personal history of (healed) pathological fracture (Z87.311)
› From M84 Disorder of continuity of bone
Excludes2
  • traumatic fracture of bone-see fracture, by site

Broader instructions also apply from Chapter 13: Diseases of the musculoskeletal system and connective tissue.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about M84.474

Is M84.474 billable?

No. M84.474 is a header code. Report one of its more specific subcodes instead.