ICD-10 category · Chapter XIII · M80-M94

M84 Disorders of continuity of bone

78 codes under M84 in the South African Master Industry Table 2021, 70 valid for clinical use; 50 marked as a Prescribed Minimum Benefit.

Valid: the code is at its most specific level and may go on an account. Heading only: code to a more specific entry beneath it. PMB and CDL: a Prescribed Minimum Benefit or Chronic Disease List condition per the Council for Medical Schemes. † dagger and * asterisk codes are used as a pair. How to read the table
CodeDescriptionUseBenefits
M84Disorders of continuity of boneHeading only—
M84.0Malunion of fractureHeading only—
M84.00Malunion of fracture, multiple sitesValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.01Malunion of fracture, shoulder regionValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.02Malunion of fracture, upper armValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.03Malunion of fracture, forearmValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.04Malunion of fracture, handValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.05Malunion of fracture, pelvic region and thighValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.06Malunion of fracture, lower legValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.07Malunion of fracture, ankle and footValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.08Malunion of fracture, other siteValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.09Malunion of fracture, site unspecifiedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.1Nonunion of fracture [pseudarthrosis]Heading only—
M84.10Nonunion of fracture [pseudarthrosis], multiple sitesValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.11Nonunion of fracture [pseudarthrosis], shoulder regionValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.12Nonunion of fracture [pseudarthrosis], upper armValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.13Nonunion of fracture [pseudarthrosis], forearmValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.14Nonunion of fracture [pseudarthrosis], handValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.15Nonunion of fracture [pseudarthrosis], pelvic region and thighValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.16Nonunion of fracture [pseudarthrosis], lower legValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.17Nonunion of fracture [pseudarthrosis], ankle and footValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.18Nonunion of fracture [pseudarthrosis], other siteValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.19Nonunion of fracture [pseudarthrosis], site unspecifiedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.2Delayed union of fractureHeading only—
M84.20Delayed union of fracture, multiple sitesValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.21Delayed union of fracture, shoulder regionValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.22Delayed union of fracture, upper armValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.23Delayed union of fracture, forearmValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.24Delayed union of fracture, handValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.25Delayed union of fracture, pelvic region and thighValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.26Delayed union of fracture, lower legValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.27Delayed union of fracture, ankle and footValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.28Delayed union of fracture, other siteValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.29Delayed union of fracture, site unspecifiedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.3Stress fracture, not elsewhere classifiedHeading only—
M84.30Stress fracture, not elsewhere classified, multiple sitesValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.31Stress fracture, not elsewhere classified, shoulder regionValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.32Stress fracture, not elsewhere classified, upper armValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.33Stress fracture, not elsewhere classified, forearmValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.34Stress fracture, not elsewhere classified, handValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.35Stress fracture, not elsewhere classified, pelvic region and thighValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.36Stress fracture, not elsewhere classified, lower legValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.37Stress fracture, not elsewhere classified, ankle and footValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.38Stress fracture, not elsewhere classified, other siteValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.39Stress fracture, not elsewhere classified, site not elsewhere classifiedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.4Pathological fracture, not elsewhere classifiedHeading only—
M84.40Pathological fracture, not elsewhere classified, multiple sitesValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.41Pathological fracture, not elsewhere classified, shoulder regionValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.42Pathological fracture, not elsewhere classified, upper armValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.43Pathological fracture, not elsewhere classified, forearmValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.44Pathological fracture, not elsewhere classified, handValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.45Pathological fracture, not elsewhere classified, pelvic region and thighValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.46Pathological fracture, not elsewhere classified, lower legValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.47Pathological fracture, not elsewhere classified, ankle and footValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.48Pathological fracture, not elsewhere classified, other siteValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.49Pathological fracture, not elsewhere classified, site unspecifiedValid · may be primaryPMB 902H Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes · Reduction / relocation
M84.8Other disorders of continuity of boneHeading only—
M84.80Other disorders of continuity of bone, multiple sitesValid · may be primary—
M84.81Other disorders of continuity of bone, shoulder regionValid · may be primary—
M84.82Other disorders of continuity of bone, upper armValid · may be primary—
M84.83Other disorders of continuity of bone, forearmValid · may be primary—
M84.84Other disorders of continuity of bone, handValid · may be primary—
M84.85Other disorders of continuity of bone, pelvic region and thighValid · may be primary—
M84.86Other disorders of continuity of bone, lower legValid · may be primary—
M84.87Other disorders of continuity of bone, ankle and footValid · may be primary—
M84.88Other disorders of continuity of bone, other siteValid · may be primary—
M84.89Other disorders of continuity of bone, site unspecifiedValid · may be primary—
M84.9Disorder of continuity of bone, unspecifiedHeading only—
M84.90Disorder of continuity of bone, unspecified, multiple sitesValid · may be primary—
M84.91Disorder of continuity of bone, unspecified, shoulder regionValid · may be primary—
M84.92Disorder of continuity of bone, unspecified, upper armValid · may be primary—
M84.93Disorder of continuity of bone, unspecified, forearmValid · may be primary—
M84.94Disorder of continuity of bone, unspecified, handValid · may be primary—
M84.95Disorder of continuity of bone, unspecified, pelvic region and thighValid · may be primary—
M84.96Disorder of continuity of bone, unspecified, lower legValid · may be primary—
M84.97Disorder of continuity of bone, unspecified, ankle and footValid · may be primary—
M84.98Disorder of continuity of bone, unspecified, other siteValid · may be primary—
M84.99Disorder of continuity of bone, unspecified, site unspecifiedValid · may be primary—
Prescribed Minimum Benefits in M84. A medical scheme must fund the diagnosis, treatment and care of a PMB condition in full, within its rules on designated providers and treatment protocols. The PMB code and treatment component beside each code come from the Council for Medical Schemes’ PMB Coded List; the scheme decides whether a given claim qualifies.

Source and terms

Reproduced from the national table, unaltered.

The Department publishes the table for the industry to load. The ICD-10 Master Industry Table page

Codes and descriptions: ICD-10 Master Industry Table (MIT) 2021, published 16 March 2021 by the National Department of Health, Republic of South Africa. ® National Department of Health: all rights reserved. Reproduced for reference without alteration.

ICD-10 is the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, © World Health Organization. The WHO ICD-10 descriptions appear as published in the MIT.

Prescribed Minimum Benefit (PMB) and Chronic Disease List (CDL) markers: Council for Medical Schemes, PMB Coded List, as read by GreenNotes. Benefit decisions rest with each medical scheme.

Source file: ICD-10_MIT_2021_Excel_16-March_2021.xlsx. Found an error in a code or description? Write to help@greennotes.co.za.

This lookup is a reference to the published code table, not coding advice. Code assignment is the treating practitioner’s responsibility, following the South African ICD-10 Coding Standards and Guidelines and the WHO ICD-10 volumes. GreenNotes does not warrant that the table is complete or current.
This is the South African table. Most ICD-10 results online are the United States’ ICD-10-CM, a different code set that South African medical schemes do not accept. Regulation 5 of the General Regulations under the Medical Schemes Act requires the diagnostic code on every account, and the Master Industry Table is the list it is coded from.

In GreenNotes

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