M84.851 ICD-10-CM Code: Other disorders of continuity of bone, right pelvic region and thigh
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Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Disorders of bone density and structure (M80-M85)
M84.851
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther disorders of continuity of bone, right pelvic region and thigh
A disorder affecting the structural continuity of the bones in the right pelvic region and thigh that doesn't fit into other specific bone conditions.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for M84.851 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for M84.851 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for M84.851 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for M84.851 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for M84.851 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for M84.851 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for M84.851 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is M84.851 an HCC code?
No. M84.851 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
M84.851 is the ICD-10-CM diagnosis code for other disorders of continuity of bone, right pelvic region and thigh. A disorder affecting the structural continuity of the bones in the right pelvic region and thigh that doesn't fit into other specific bone conditions. M84.851 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering disorders of bone density and structure (m80-m85).
M84.851 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Confirm right side is documented; this includes pelvic bones and femur (thighbone).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M84.851 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Confirm right side is documented; this includes pelvic bones and femur (thighbone)
- •Verify if the condition involves the pelvis, femur, or both structures