7th Character Required

The appropriate 7th character is to be added to each code from subcategory M84.3:

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

Coding Guidelines

Inclusion Terms

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

Excludes1 (Mutually Exclusive)

These codes should never be used together with M84.3

  • pathological fracture NOS (M84.4.-)
  • pathological fracture due to osteoporosis (M80.-)
  • traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)

Excludes2 (Not Included Here)

These conditions are not part of this code but may be reported additionally if documented

  • Z87.312 - personal history of (healed) stress (fatigue) fracture (Z87.312)
  • stress fracture of vertebra (M48.4-)

Use Additional Code

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

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