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  2. ICD-10-CM Codes
  3. M00–M99
  4. M80-M85
  5. M84
  6. 2024 ICD-10-CM Code M84.3
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code M84.3

Stress fracture

ICD-10-CM Code:
M84.3
ICD-10 Code for:
Stress fracture
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Diseases of the musculoskeletal system and connective tissue
    (M00–M99)
    • Disorders of bone density and structure
      (M80-M85)
      • Disorder of continuity of bone
        (M84)

M84.3 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of stress fracture. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Stress fracture

Non-specific codes like M84.3 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for stress fracture:

  • M84.30 for Stress fracture, unspecified site - NON-BILLABLE CODE

  • Use M84.30XA for initial encounter for fracture - BILLABLE CODE

  • Use M84.30XD for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.30XG for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.30XK for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.30XP for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.30XS for sequela - BILLABLE CODE

  • M84.31 for Stress fracture, shoulder - NON-BILLABLE CODE

  • M84.311 for Stress fracture, right shoulder - NON-BILLABLE CODE

  • Use M84.311A for initial encounter for fracture - BILLABLE CODE

  • Use M84.311D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.311G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.311K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.311P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.311S for sequela - BILLABLE CODE

  • M84.312 for Stress fracture, left shoulder - NON-BILLABLE CODE

  • Use M84.312A for initial encounter for fracture - BILLABLE CODE

  • Use M84.312D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.312G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.312K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.312P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.312S for sequela - BILLABLE CODE

  • M84.319 for Stress fracture, unspecified shoulder - NON-BILLABLE CODE

  • Use M84.319A for initial encounter for fracture - BILLABLE CODE

  • Use M84.319D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.319G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.319K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.319P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.319S for sequela - BILLABLE CODE

  • M84.32 for Stress fracture, humerus - NON-BILLABLE CODE

  • M84.321 for Stress fracture, right humerus - NON-BILLABLE CODE

  • Use M84.321A for initial encounter for fracture - BILLABLE CODE

  • Use M84.321D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.321G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.321K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.321P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.321S for sequela - BILLABLE CODE

  • M84.322 for Stress fracture, left humerus - NON-BILLABLE CODE

  • Use M84.322A for initial encounter for fracture - BILLABLE CODE

  • Use M84.322D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.322G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.322K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.322P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.322S for sequela - BILLABLE CODE

  • M84.329 for Stress fracture, unspecified humerus - NON-BILLABLE CODE

  • Use M84.329A for initial encounter for fracture - BILLABLE CODE

  • Use M84.329D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.329G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.329K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.329P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.329S for sequela - BILLABLE CODE

  • M84.33 for Stress fracture, ulna and radius - NON-BILLABLE CODE

  • M84.331 for Stress fracture, right ulna - NON-BILLABLE CODE

  • Use M84.331A for initial encounter for fracture - BILLABLE CODE

  • Use M84.331D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.331G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.331K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.331P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.331S for sequela - BILLABLE CODE

  • M84.332 for Stress fracture, left ulna - NON-BILLABLE CODE

  • Use M84.332A for initial encounter for fracture - BILLABLE CODE

  • Use M84.332D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.332G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.332K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.332P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.332S for sequela - BILLABLE CODE

  • M84.333 for Stress fracture, right radius - NON-BILLABLE CODE

  • Use M84.333A for initial encounter for fracture - BILLABLE CODE

  • Use M84.333D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.333G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.333K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.333P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.333S for sequela - BILLABLE CODE

  • M84.334 for Stress fracture, left radius - NON-BILLABLE CODE

  • Use M84.334A for initial encounter for fracture - BILLABLE CODE

  • Use M84.334D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.334G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.334K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.334P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.334S for sequela - BILLABLE CODE

  • M84.339 for Stress fracture, unspecified ulna and radius - NON-BILLABLE CODE

  • Use M84.339A for initial encounter for fracture - BILLABLE CODE

  • Use M84.339D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.339G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.339K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.339P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.339S for sequela - BILLABLE CODE

  • M84.34 for Stress fracture, hand and fingers - NON-BILLABLE CODE

  • M84.341 for Stress fracture, right hand - NON-BILLABLE CODE

  • Use M84.341A for initial encounter for fracture - BILLABLE CODE

  • Use M84.341D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.341G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.341K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.341P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.341S for sequela - BILLABLE CODE

  • M84.342 for Stress fracture, left hand - NON-BILLABLE CODE

  • Use M84.342A for initial encounter for fracture - BILLABLE CODE

  • Use M84.342D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.342G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.342K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.342P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.342S for sequela - BILLABLE CODE

  • M84.343 for Stress fracture, unspecified hand - NON-BILLABLE CODE

  • Use M84.343A for initial encounter for fracture - BILLABLE CODE

  • Use M84.343D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.343G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.343K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.343P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.343S for sequela - BILLABLE CODE

  • M84.344 for Stress fracture, right finger(s) - NON-BILLABLE CODE

  • Use M84.344A for initial encounter for fracture - BILLABLE CODE

  • Use M84.344D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.344G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.344K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.344P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.344S for sequela - BILLABLE CODE

  • M84.345 for Stress fracture, left finger(s) - NON-BILLABLE CODE

  • Use M84.345A for initial encounter for fracture - BILLABLE CODE

  • Use M84.345D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.345G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.345K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.345P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.345S for sequela - BILLABLE CODE

  • M84.346 for Stress fracture, unspecified finger(s) - NON-BILLABLE CODE

  • Use M84.346A for initial encounter for fracture - BILLABLE CODE

  • Use M84.346D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.346G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.346K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.346P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.346S for sequela - BILLABLE CODE

  • M84.35 for Stress fracture, pelvis and femur - NON-BILLABLE CODE

  • M84.350 for Stress fracture, pelvis - NON-BILLABLE CODE

  • Use M84.350A for initial encounter for fracture - BILLABLE CODE

  • Use M84.350D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.350G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.350K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.350P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.350S for sequela - BILLABLE CODE

  • M84.351 for Stress fracture, right femur - NON-BILLABLE CODE

  • Use M84.351A for initial encounter for fracture - BILLABLE CODE

  • Use M84.351D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.351G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.351K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.351P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.351S for sequela - BILLABLE CODE

  • M84.352 for Stress fracture, left femur - NON-BILLABLE CODE

  • Use M84.352A for initial encounter for fracture - BILLABLE CODE

  • Use M84.352D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.352G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.352K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.352P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.352S for sequela - BILLABLE CODE

  • M84.353 for Stress fracture, unspecified femur - NON-BILLABLE CODE

  • Use M84.353A for initial encounter for fracture - BILLABLE CODE

  • Use M84.353D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.353G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.353K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.353P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.353S for sequela - BILLABLE CODE

  • M84.359 for Stress fracture, hip, unspecified - NON-BILLABLE CODE

  • Use M84.359A for initial encounter for fracture - BILLABLE CODE

  • Use M84.359D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.359G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.359K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.359P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.359S for sequela - BILLABLE CODE

  • M84.36 for Stress fracture, tibia and fibula - NON-BILLABLE CODE

  • M84.361 for Stress fracture, right tibia - NON-BILLABLE CODE

  • Use M84.361A for initial encounter for fracture - BILLABLE CODE

  • Use M84.361D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.361G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.361K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.361P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.361S for sequela - BILLABLE CODE

  • M84.362 for Stress fracture, left tibia - NON-BILLABLE CODE

  • Use M84.362A for initial encounter for fracture - BILLABLE CODE

  • Use M84.362D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.362G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.362K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.362P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.362S for sequela - BILLABLE CODE

  • M84.363 for Stress fracture, right fibula - NON-BILLABLE CODE

  • Use M84.363A for initial encounter for fracture - BILLABLE CODE

  • Use M84.363D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.363G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.363K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.363P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.363S for sequela - BILLABLE CODE

  • M84.364 for Stress fracture, left fibula - NON-BILLABLE CODE

  • Use M84.364A for initial encounter for fracture - BILLABLE CODE

  • Use M84.364D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.364G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.364K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.364P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.364S for sequela - BILLABLE CODE

  • M84.369 for Stress fracture, unspecified tibia and fibula - NON-BILLABLE CODE

  • Use M84.369A for initial encounter for fracture - BILLABLE CODE

  • Use M84.369D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.369G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.369K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.369P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.369S for sequela - BILLABLE CODE

  • M84.37 for Stress fracture, ankle, foot and toes - NON-BILLABLE CODE

  • M84.371 for Stress fracture, right ankle - NON-BILLABLE CODE

  • Use M84.371A for initial encounter for fracture - BILLABLE CODE

  • Use M84.371D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.371G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.371K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.371P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.371S for sequela - BILLABLE CODE

  • M84.372 for Stress fracture, left ankle - NON-BILLABLE CODE

  • Use M84.372A for initial encounter for fracture - BILLABLE CODE

  • Use M84.372D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.372G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.372K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.372P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.372S for sequela - BILLABLE CODE

  • M84.373 for Stress fracture, unspecified ankle - NON-BILLABLE CODE

  • Use M84.373A for initial encounter for fracture - BILLABLE CODE

  • Use M84.373D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.373G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.373K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.373P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.373S for sequela - BILLABLE CODE

  • M84.374 for Stress fracture, right foot - NON-BILLABLE CODE

  • Use M84.374A for initial encounter for fracture - BILLABLE CODE

  • Use M84.374D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.374G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.374K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.374P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.374S for sequela - BILLABLE CODE

  • M84.375 for Stress fracture, left foot - NON-BILLABLE CODE

  • Use M84.375A for initial encounter for fracture - BILLABLE CODE

  • Use M84.375D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.375G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.375K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.375P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.375S for sequela - BILLABLE CODE

  • M84.376 for Stress fracture, unspecified foot - NON-BILLABLE CODE

  • Use M84.376A for initial encounter for fracture - BILLABLE CODE

  • Use M84.376D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.376G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.376K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.376P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.376S for sequela - BILLABLE CODE

  • M84.377 for Stress fracture, right toe(s) - NON-BILLABLE CODE

  • Use M84.377A for initial encounter for fracture - BILLABLE CODE

  • Use M84.377D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.377G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.377K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.377P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.377S for sequela - BILLABLE CODE

  • M84.378 for Stress fracture, left toe(s) - NON-BILLABLE CODE

  • Use M84.378A for initial encounter for fracture - BILLABLE CODE

  • Use M84.378D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.378G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.378K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.378P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.378S for sequela - BILLABLE CODE

  • M84.379 for Stress fracture, unspecified toe(s) - NON-BILLABLE CODE

  • Use M84.379A for initial encounter for fracture - BILLABLE CODE

  • Use M84.379D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.379G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.379K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.379P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.379S for sequela - BILLABLE CODE

  • M84.38 for Stress fracture, other site - NON-BILLABLE CODE

  • Use M84.38XA for initial encounter for fracture - BILLABLE CODE

  • Use M84.38XD for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use M84.38XG for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use M84.38XK for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use M84.38XP for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use M84.38XS for sequela - BILLABLE CODE

Clinical Information

  • Stress Fracture

    a small, traumatic break or severe bruising of a bone caused by repetitive application of force.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Fatigue fracture
  • March fracture
  • Stress fracture NOS
  • Stress reaction

Use Additional Code

Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
  • external cause code(s) to identify the cause of the stress fracture

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • personal history of healed stress fatigue fracture Z87.312
  • stress fracture of vertebra M48.4

7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • The appropriate 7th character is to be added to each code from subcategory M84.3:

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
  • 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

Patient Education


Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.