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Home/Diagnosis/ICD-10 Coding for Fibular Stress Fracture

ICD-10 Coding for Fibular Stress Fracture

M84.363A
M84.364A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for fibular stress fracture includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Stress Fracture of the Fibula
Fibula Stress Injury
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Key Information: ICD-10 Coding for Fibular Stress Fracture

Essential facts and insights about ICD-10 Coding for Fibular Stress Fracture

Use ICD-10 code M84.363A for stress fracture, right fibula, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Stress fracture, right fibula, initial encounter

Billable Code
M84.363A
Billable

Diagnostic Criteria

clinical:
  • • Presence of localized pain and imaging confirmation
coding:
  • • Use 7th character 'A' for initial encounter

Applicable To

  • • Initial encounter for stress fracture of right fibula

Important Notes

  • • Ensure imaging confirms stress fracture before coding.

Stress fracture, left fibula, initial encounter

Billable Code
M84.364A
Billable

Diagnostic Criteria

clinical:
  • • Presence of localized pain and imaging confirmation
coding:
  • • Use 7th character 'A' for initial encounter

Applicable To

  • • Initial encounter for stress fracture of left fibula

Important Notes

  • • Ensure imaging confirms stress fracture before coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

M80.00XA

Age-related osteoporosis with current pathological fracture, unspecified site, initial encounter

Use when osteoporosis is the underlying cause of the stress fracture.

Frequently Asked Questions

What is the ICD-10 code for a fibular stress fracture?

The ICD-10 code for a fibular stress fracture is M84.36-, with specific codes for laterality and encounter type, such as M84.363A for the right fibula, initial encounter.

How do you code a nonunion fibular stress fracture?

Use M84.363K for a nonunion stress fracture of the right fibula, indicating non-healing after 90 days.

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