ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesM84.441

M84.441

Billable

Pathological fracture, right hand

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M84.441 is a billable code used to indicate a diagnosis of pathological fracture, right hand.

Key Diagnostic Point:

A pathological fracture of the right hand occurs when a bone in the hand breaks due to an underlying disease or condition that weakens the bone structure, rather than from a traumatic injury. Common causes include osteoporosis, metastatic cancer, or other bone density disorders that compromise the integrity of the bone. Osteoporosis, a condition characterized by decreased bone density and increased fragility, is particularly prevalent in older adults and postmenopausal women. In patients with osteoporosis, even minor falls or stresses can lead to fractures. The right hand is a common site for such fractures due to its frequent use in daily activities. Diagnosis typically involves imaging studies such as X-rays or CT scans to confirm the fracture and assess the extent of bone loss. Treatment may include pain management, immobilization, and addressing the underlying bone density disorder to prevent future fractures. Understanding the etiology of the fracture is crucial for effective management and prevention strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between traumatic and pathological fractures
  • Understanding underlying conditions like osteoporosis
  • Documentation of bone density assessments
  • Identifying the specific location of the fracture

Audit Risk Factors

  • Inadequate documentation of the underlying condition
  • Failure to specify the exact location of the fracture
  • Misclassification of a traumatic fracture as pathological
  • Lack of evidence for bone density testing

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on fracture location, type, and any imaging results.

Common Clinical Scenarios

Patients presenting with fractures after minimal trauma, especially in older adults.

Billing Considerations

Ensure that the underlying bone density disorder is documented to support the diagnosis.

Endocrinology

Documentation Requirements

Documentation of bone density tests and management of osteoporosis.

Common Clinical Scenarios

Patients with osteoporosis presenting with fractures.

Billing Considerations

Documenting the patient's history of osteoporosis and treatment plans is essential.

Coding Guidelines

Inclusion Criteria

Use M84.441 When
  • According to ICD
  • 10 guidelines, M84
  • 441 should be used when a fracture is confirmed to be pathological due to an underlying condition
  • Coders must ensure that documentation supports the diagnosis and that any relevant co
  • existing conditions are also coded

Exclusion Criteria

Do NOT use M84.441 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used when a patient with a pathological fracture requires joint aspiration.

Documentation Requirements

Document the reason for the procedure and any imaging results.

Specialty Considerations

Orthopedic specialists should ensure that the procedure is justified based on the fracture's impact.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of pathological fractures, improving the ability to track and manage conditions like osteoporosis and their complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of pathological fractures, improving the ability to track and manage conditions like osteoporosis and their complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of pathological fractures, improving the ability to track and manage conditions like osteoporosis and their complications.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a pathological fracture and a traumatic fracture?

A pathological fracture occurs due to an underlying disease that weakens the bone, while a traumatic fracture results from an external force or injury.