2027 ICD-10-CM Diagnosis Code M84.319SStress fracture, unspecified shoulder, sequela

ICD-10-CM Codes›M00–M99›M80-M85›M84

ICD-10-CM M84.319S
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

M84.319S is a billable ICD-10-CM diagnosis code for stress fracture, unspecified shoulder, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 559 through 561. Coders also document this condition as stress fracture of clavicle. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Pathological, stress and atypical fractures, sequela.

Code Identity

ICD-10-CM Code
M84.319S
Billable Status
Yes — Valid for Submission
Code Describes
Stress fracture, unspecified shoulder, sequela
Short Description
Stress fracture, unspecified shoulder, sequela
Same as the full description in the CMS dataset.
Parent Code
M84.319
Stress fracture, unspecified shoulder

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM80-M85Disorders of bone density and structure
CategoryM84Disorder of continuity of bone
This CodeM84.319SStress fracture, unspecified shoulder, sequela

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Stress fracture of clavicle
  • Stress fracture of scapula

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to M84.319S: its own notes plus those printed at M84.3, M84, and Chapter 13. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From M84.3 Stress fracture applies to 228 codes

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From M84.3 Stress fracture applies to 228 codes
  • personal history of (healed) stress (fatigue) fracture (Z87.312)
  • stress fracture of vertebra (M48.4-)
From M84 Disorder of continuity of bone applies to 928 codes
  • traumatic fracture of bone-see fracture, by site
From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • 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)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From M84.3 Stress fracture applies to 228 codes
  • external cause code(s) to identify the cause of the stress fracture

Notes

General instructions on how these codes are used.

From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From M84.3 Stress fracture applies to 228 codes
  • The appropriate 7th character is to be added to each code from subcategory M84.3:
Values for category M84.3 Pathological Fracture Encounter
  • Ainitial encounter for fracture
  • Dsubsequent encounter for fracture with routine healing
  • Gsubsequent encounter for fracture with delayed healing
  • Ksubsequent encounter for fracture with nonunion
  • Psubsequent encounter for fracture with malunion
  • Ssequela this code

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name M84.319S, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming M84.319S: they are not reported together with it, unless the two conditions are unrelated.

  • M84.4 Pathological fracture, not elsewhere classified
    stress fracture (M84.3-) names M84.3-, which includes this code

Clinical ClassificationClinical

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

CCSR MUS020
Pathological, stress and atypical fractures, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Fractures, Stress

    fractures due to the strain caused by repetitive exercise. they are thought to arise from a combination of muscle fatigue and bone failure, and occur in situations where bone remodeling predominates over repair. the most common sites of stress fractures are the metatarsus; fibula; tibia; and femoral neck.

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 M84.319S to ICD-9-CMHistory

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

ICD-9-CM
905.2 Late effect arm fx
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About M84.319SOverview

What is the ICD-10 code for stress fracture, unspecified shoulder, sequela?

The ICD-10-CM code for stress fracture, unspecified shoulder, sequela is M84.319S (sometimes written as M84319S). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is M84.319S (Stress fracture, unspecified shoulder) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report stress fracture, unspecified shoulder, sequela on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character S in M84.319S mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the stress fracture, unspecified shoulder itself has resolved, not the original event.

What MS-DRG does M84.319S group to?

When stress fracture, unspecified shoulder, sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 559, 561, 560, with relative weights from 0.8258 to 1.8087 depending on complications. Higher weights mean higher Medicare reimbursement.

Can M84.319S be reported with a code from M84.4?

Not as a rule. The Excludes1 note at M84.3, which applies to M84.319S, lists "pathological fracture NOS (M84.4.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).