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M84.36
Non-billable

Stress fracture, tibia and fibula

Chapter 13: Diseases of the musculoskeletal system and connective tissue

Coding Guidance

M84.36 should not be used for reimbursement purposes as there are more specific codes below it that contain a greater level of detail. See Related Codes to drill down to more specific billable codes for appropriate reimbursement.

Additional Information from Parent Codes

The following information may apply to this code from its parent codes in the ICD-10 hierarchy. This information is important for proper coding and classification.

Inclusion Terms

4 items

From M84.3:

  • Fatigue fracture
  • March fracture
  • Stress fracture NOS
  • Stress reaction

Excludes1

3 items

From M84.3:

  • pathological fracture NOS (M84.4.-)
  • pathological fracture due to osteoporosis (M80.-)
  • traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)

Excludes2

13 items

From M00-M99:

  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

From M84:

  • traumatic fracture of bone-see fracture, by site

From M84.3:

  • personal history of (healed) stress (fatigue) fracture (Z87.312)
  • stress fracture of vertebra (M48.4-)

Use Additional Code

1 item

From M84.3:

  • external cause code(s) to identify the cause of the stress fracture

Notes

1 item

From M00-M99:

  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

7th Character Notes

7 items

From M84.3:

  • The appropriate 7th character is to be added to each code from subcategory M84.3:
  • A: initial encounter for fracture
  • D: subsequent encounter for fracture with routine healing
  • G: subsequent encounter for fracture with delayed healing
  • K: subsequent encounter for fracture with nonunion
  • P: subsequent encounter for fracture with malunion
  • S: sequela
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