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ICD-10-CM 2027 diagnosis code

M84.68XAPathological fracture in other disease, other site, initial encounter for fracture

✓ Billable / specificRequires 7th characterCC — complication/comorbidity

M84.68XA is a valid, billable ICD-10-CM code for pathological fracture in other disease, other site, initial encounter for fracture. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Pathological fracture in oth disease, oth site, init for fx

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 M84.68XA

M84.68XA is the ICD-10-CM diagnosis code for pathological fracture in other disease, other site, initial encounter for fracture. 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 billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "A" means initial encounter for fracture: use it while the patient is receiving active treatment for the condition.

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 456 (Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with MCC, relative weight 7.6244), DRG 457 (Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with CC, relative weight 5.3668), DRG 458 (Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection without CC/MCC, relative weight 4.0388), DRG 542 (Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC, relative weight 1.7211), DRG 543 (Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC, relative weight 1.006), DRG 544 (Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/MCC, relative weight 0.7406) and 2 more, in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

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

Before ICD-10, this condition was coded in ICD-9-CM as 733.13 (pathologic fracture of vertebrae) and 733.19 (pathologic fracture of other specified site).

7th character

Ainitial encounter for fracture

CC/MCC status for this injury by encounter: CC for A, K, P; Neither CC nor MCC for D, G, S.

Other encounter types for M84.68:

Notes that apply from higher levels

Instructions written at a parent level also apply to M84.68XA.

› From M84.6 Pathological fracture in other disease
Excludes1
  • pathological fracture in osteoporosis (M80.-)
Code also
  • underlying condition
› 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.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

ICD-9-CM equivalent

Converter →
  • 733.13Pathologic fracture of vertebraeapproximate
  • 733.19Pathologic fracture of other specified siteapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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 M84.68XA

Is M84.68XA billable?

Yes. M84.68XA is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "A" at the end of M84.68XA mean?

It is the 7th character for initial encounter for fracture. Per the official guidelines, use it while the patient is receiving active treatment for the condition.

Can M84.68XA be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict M84.68XA as a principal diagnosis.

Is M84.68XA a CC or MCC?

M84.68XA is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does M84.68XA group to?

M84.68XA is used in the MS-DRG v44.0 logic for MS-DRG 456 (Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with MCC), MS-DRG 457 (Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with CC), MS-DRG 458 (Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection without CC/MCC), MS-DRG 542 (Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC), MS-DRG 543 (Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC), MS-DRG 544 (Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/MCC) and 2 more. Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for M84.68XA?

The CMS General Equivalence Mappings map M84.68XA to ICD-9-CM 733.13 and 733.19.