2021 ICD-10-CM Code M84.312P
Stress fracture, left shoulder, subsequent encounter for fracture with malunion
Valid for Submission
M84.312P is a billable diagnosis code used to specify a medical diagnosis of stress fracture, left shoulder, subsequent encounter for fracture with malunion. The code M84.312P is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code M84.312P might also be used to specify conditions or terms like stress fracture of clavicle, stress fracture of left clavicle, stress fracture of left scapula or stress fracture of scapula.
M84.312P is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like stress fracture left shoulder for fracture with malunion. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
| ICD-10: | M84.312P |
| Short Description: | Stress fracture, left shoulder, subs for fx w malunion |
| Long Description: | Stress fracture, left shoulder, subsequent encounter for fracture with malunion |
Code Classification
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Stress fracture of clavicle
- Stress fracture of left clavicle
- Stress fracture of left scapula
- Stress fracture of scapula
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code M84.312P is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2021.
- 564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC - Relative Weight: 1.5138
- 565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC - Relative Weight: 1.0063
- 566 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC - Relative Weight: 0.7515
Convert M84.312P to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code M84.312P its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 733.81 - Malunion of fracture (Approximate Flag)
Information for Patients
Fractures
Also called: Broken bone
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.
- Broken bone (Medical Encyclopedia)
- Closed reduction of a fractured bone (Medical Encyclopedia)
- Closed reduction of a fractured bone - aftercare (Medical Encyclopedia)
[Learn More]
Shoulder Injuries and Disorders
Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it. To remain in a stable or normal position, the shoulder must be anchored by muscles, tendons, and ligaments.
Because your shoulder can be unstable, it can be easily injured. Common problems include
- Sprains and strains
- Dislocations
- Separations
- Tendinitis
- Bursitis
- Torn rotator cuffs
- Frozen shoulder
- Fractures
- Arthritis
Health care providers diagnose shoulder problems by using your medical history, a physical exam, and imaging tests.
Often, the first treatment for shoulder problems is RICE. This stands for Rest, Ice, Compression, and Elevation. Other treatments include exercise and medicines to reduce pain and swelling. If those don't work, you may need surgery.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
- Brachial plexopathy (Medical Encyclopedia)
- Broken collarbone - aftercare (Medical Encyclopedia)
- Frozen shoulder (Medical Encyclopedia)
- Frozen shoulder - aftercare (Medical Encyclopedia)
- Shoulder arthroscopy (Medical Encyclopedia)
- Shoulder CT scan (Medical Encyclopedia)
- Shoulder MRI scan (Medical Encyclopedia)
- Shoulder pain (Medical Encyclopedia)
- Using your shoulder after surgery (Medical Encyclopedia)
[Learn More]
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)