ICD-10-CM Code M84.38
Stress fracture, other site
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."ICD Code M84.38 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'stress fracture, other site' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:
| 7th Digit | Billable Code | 7th Digit Specifies |
|---|---|---|
| A | M84.38XA | initial encounter for fracture |
| D | M84.38XD | subsequent encounter for fracture with routine healing |
| G | M84.38XG | subsequent encounter for fracture with delayed healing |
| K | M84.38XK | subsequent encounter for fracture with nonunion |
| P | M84.38XP | subsequent encounter for fracture with malunion |
| S | M84.38XS | sequela |
What is 7th Character Extension?
For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More InfoThe ICD code M843 is used to code Stress fracture
A stress fracture, also known as a hairline fracture, is a fatigue-induced fracture of the bone caused by repeated stress over time. Instead of resulting from a single severe impact, stress fractures are the result of accumulated trauma from repeated submaximal loading, such as running or jumping. Because of this mechanism, stress fractures are common overuse injuries in athletes.
| Specialty: | Orthopedics |
| MeSH Codes: | D015775, D015775, D015775 |
| ICD 9 Codes: | 733.93, 733.94, 733.95 |
Coding Notes for M84.38 Info for medical coders on how to properly use this ICD-10 code
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Code Type-2 Excludes:
Type-2 Excludes
Type-2 Excludes means the excluded conditions are different, although they may appear similar. A patient may have both conditions, but one does not include the other. Excludes 2 means "not coded here." - Stress fracture of vertebra - instead, use code M48.4-
ICD-10-CM Alphabetical Index References for 'M84.38 - Stress fracture, other site'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code M84.38. Click on any term below to browse the alphabetical index.
Parent Code: M84.3 - Stress fracture