CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

M84.469A Quick jump to specific ICD-10 (CM) Code: M84.469G


See Category: Diseases of the musculoskeletal system and connective tissue

See Header: Pathological fracture, unspecified tibia and fibula

ICD-10 (CM) Code and Descriptor

M84.469D Pathological fracture, unspecified tibia and fibula, subsequent encounter for fracture with routine healing

M84469D 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 10
ICD10
Position 11
35.51% 33.18% 11.68% 4.67% 3.27% 1.40% 1.87% 1.40% 0.47% 0.47%

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

Commonly Associated Procedure Codes for M84.469D*:

CPT
Description Number of Claims Sum Performed
97110
THERAPEUTIC EXERCISES 150 300
97530
THERAPEUTIC ACTIVITIES 120 239
97112
NEUROMUSCULAR REEDUCATION 67 85
97024
DIATHERMY EG MICROWAVE 54 54
G0463
HOSPITAL OUTPT CLINIC VISIT 31 31
97140
MANUAL THERAPY 1/> REGIONS 23 23
97150
GROUP THERAPEUTIC PROCEDURES 16 16
97161
PT EVAL LOW COMPLEX 20 MIN 9 9
G0283
ELEC STIM OTHER THAN WOUND 9 9
99213
OFFICE O/P EST LOW 20 MIN 7 7
97016
VASOPNEUMATIC DEVICE THERAPY 7 7
97116
GAIT TRAINING THERAPY 6 10
73610
X-RAY EXAM OF ANKLE 5 5
97535
SELF CARE MNGMENT TRAINING 4 7
73560
X-RAY EXAM OF KNEE 1 OR 2 4 4
97035
APP MDLTY 1+ULTRASOUND EA 15 4 4
36415
COLL VENOUS BLD VENIPUNCTURE 3 3
97162
PT EVAL MOD COMPLEX 30 MIN 3 3
77080
DXA BONE DENSITY AXIAL 3 3
82306
VITAMIN D 25 HYDROXY 3 3

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



M84.469D related to the following DRG Codes:

559-561






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.