M84.3

Non-billable

Stress fracture

Stress fracture

This is a header/category code. For billing purposes, use a more specific child code from the list below.

Status

Non-billable / Header

Block

M80-M85

Parent Code

M84

Child Codes

9

Coding Notes

Inclusion Terms

Alternative clinical terms for this condition

  • Fatigue fracture
  • March fracture
  • Stress fracture NOS
  • Stress reaction

Excludes 1

Codes that cannot be used together with this code (mutual exclusion)

Excludes 2

Conditions not included here, but the patient may have both

  • 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)
  • traumatic fracture of bone-see fracture, by site
  • personal history of (healed) stress (fatigue) fracture (Z87.312)
  • stress fracture of vertebra (M48.4-)

Use Additional Code

Additional codes that should follow this code

  • external cause code(s) to identify the cause of the stress fracture

7th Character Definitions

  • 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

Child Codes (9)

Also Known As / Clinical Terms

Frequently Asked Questions

What is ICD-10 code M84.3?

ICD-10-CM code M84.3 represents "Stress fracture". It is a non-billable header code — use a more specific child code for billing purposes.

Is M84.3 a billable code?

No, M84.3 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 9 child codes under M84.3.

What chapter is M84.3 in?

M84.3 is in Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (codes M00-M99).

What codes cannot be used with M84.3?

M84.3 has Excludes1 notes indicating codes that cannot be used together with it, including: pathological fracture NOS (M84.4.-); pathological fracture due to osteoporosis (M80.-); traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-).

What are the subcategories under M84.3?

M84.3 has 9 child codes, including: M84.30 (Stress fracture, unspecified site), M84.31 (Stress fracture, shoulder), M84.32 (Stress fracture, humerus), M84.33 (Stress fracture, ulna and radius), and 5 more.

Are additional codes required with M84.3?

Yes, when using M84.3 you should also code: external cause code(s) to identify the cause of the stress fracture.

What are the UMLS CUIs for M84.3?

M84.3 is linked to 2 UMLS Concept Unique Identifiers: C0016664, C5980148. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.