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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.
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M84469A utilizaton on OPPS claims.*
Primary ICD10 Code |
ICD10 Position 2 |
ICD10 Position 3 |
ICD10 Position 4 |
ICD10 Position 5 |
ICD10 Position 6 |
ICD10 Position 7 |
ICD10 Position 8 |
ICD10 Position 9 |
ICD10 Position 10 |
36.95%
|
31.73%
|
12.85%
|
9.24%
|
2.81%
|
3.61%
|
0.80%
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1.20%
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0.40%
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0.40%
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* 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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