M84.3Non-billable
Stress fracture
Chapter 13: Diseases of the musculoskeletal system and connective tissue
Inclusion Terms
4 items
Inclusion Terms
- •Fatigue fracture
- •March fracture
- •Stress fracture NOS
- •Stress reaction
Use Additional Code
1 item
Use Additional Code
- •external cause code(s) to identify the cause of the stress fracture
Coding Guidance
M84.3 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.
7th Character Information
The appropriate 7th character is to be added to each code from subcategory M84.3:
7th Character Values:
- •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
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.
Parent Codes Referenced:
Excludes2
11 items
Excludes2
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-)
- •
- •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
Notes
1 item
Notes
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