2026 ICD-10-CM Diagnosis Code M84.30XKStress fracture, unspecified site, subsequent encounter for fracture with nonunion

ICD-10-CM Codes›M00–M99›M80-M85›M84

ICD-10-CM M84.30XK
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M84.30XK is a billable ICD-10-CM diagnosis code for stress fracture, unspecified site, subsequent encounter for fracture with nonunion. The 7th character K reports a subsequent encounter for a fracture that has failed to heal, called a nonunion. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 564 through 566. The code is flagged as an unspecified code, since codes identifying laterality exist in the same family. Coders also document this condition as insufficiency fracture. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Stress fracture, subsequent encounter.

Code Identity

ICD-10-CM Code
M84.30XK
Billable Status
Yes — Valid for Submission
Code Describes
Stress fracture, unspecified site, subsequent encounter for fracture with nonunion
Short Description
Stress fracture, unsp site, subs for fx w nonunion
Parent Code
M84.30
Stress fracture, unspecified site

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM80-M85Disorders of bone density and structure
CategoryM84Disorder of continuity of bone
This CodeM84.30XKStress fracture, unspecified site, subsequent encounter for fracture with nonunion

Code EditsBilling

Medicare Code Editor checks that affect claim validity for M84.30XK.

Unspecified codes
Unspecified codes exist in the ICD-10-CM classification for circumstances when documentation in the medical record does not provide the level of detail needed to support reporting a more specific code. However, in the inpatient setting, there should generally be very limited and rare circumstances for which the laterality (right, left, bilateral) of a condition is unable to be documented and reported. The following pages contain the list of unspecified ICD-10-CM diagnosis codes for which there is a more specific code to identify laterality (right, left, bilateral) within that code family.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Insufficiency fracture
  • Stress fracture

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MUS017
Stress fracture, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Stress Fracture

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

Patient EducationClinical

Fractures

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

The full article covers:

  • What is a fracture?
  • What are the different types of fractures?
  • What causes fractures?
  • What are the symptoms of a fracture?
  • How are fractures diagnosed?
  • What are the treatments for fractures?
  • Can fractures be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M84.30XK to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
733.82 Nonunion of fracture
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About M84.30XKOverview

Is M84.30XK (Stress fracture, unspecified site) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report stress fracture, unspecified site, subsequent encounter for fracture with nonunion on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character K in M84.30XK mean?

The final character K reports a subsequent encounter where the stress fracture, unspecified site has failed to heal, called a nonunion.

What MS-DRG does M84.30XK group to?

When stress fracture, unspecified site, subsequent encounter for fracture with nonunion is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 565, 566, with relative weights from 0.7493 to 1.5436 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of M84.30XK?

Under the General Equivalence Mappings, stress fracture, unspecified site, subsequent encounter for fracture with nonunion converts to ICD-9-CM 733.82 (nonunion of fracture). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.