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ICD-10 Code or Description Search:

M84.464S Quick jump to specific ICD-10 (CM) Code: M84.469D


See Category: Diseases of the musculoskeletal system and connective tissue

See Header: Pathological fracture, unspecified tibia and fibula

ICD-10 (CM) Code and Descriptor

M84.469A Pathological fracture, unspecified tibia and fibula, initial encounter for fracture
  • In the inpatient setting, there should generally be very limited and rare circumstances for which the laterality (right, left, bilateral) of a condition is unable to be documented and reported.
  • M84469A utilizaton on OPPS claims.*

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    36.95% 31.73% 12.85% 9.24% 2.81% 3.61% 0.80% 1.20% 0.40% 0.40%

    * Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

    Commonly Associated Procedure Codes for M84.469A*:

    CPT
    Description Number of Claims Sum Performed
    97110
    THERAPEUTIC EXERCISES 86 157
    97140
    MANUAL THERAPY 1/> REGIONS 54 56
    G0463
    HOSPITAL OUTPT CLINIC VISIT 42 42
    97530
    THERAPEUTIC ACTIVITIES 41 84
    G0283
    ELEC STIM OTHER THAN WOUND 18 18
    97116
    GAIT TRAINING THERAPY 12 13
    73721
    MRI JNT OF LWR EXTRE W/O DYE 11 11
    36415
    COLL VENOUS BLD VENIPUNCTURE 8 8
    73564
    X-RAY EXAM KNEE 4 OR MORE 8 8
    73562
    X-RAY EXAM OF KNEE 3 6 6
    97112
    NEUROMUSCULAR REEDUCATION 6 7
    73590
    X-RAY EXAM OF LOWER LEG 6 6
    73560
    X-RAY EXAM OF KNEE 1 OR 2 5 5
    82306
    VITAMIN D 25 HYDROXY 4 4
    97161
    PT EVAL LOW COMPLEX 20 MIN 4 4
    73610
    X-RAY EXAM OF ANKLE 4 4
    77080
    DXA BONE DENSITY AXIAL 4 4
    97162
    PT EVAL MOD COMPLEX 30 MIN 4 4
    G1004
    CDSM NDSC 3 3
    85025
    COMPLETE CBC W/AUTO DIFF WBC 3 3

    * Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



    M84.469A related to the following DRG Codes:

    542-544
    791
    793






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