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ICD-10 Guide
ICD-10 CodesM84.333

M84.333

Billable

Stress fracture, right radius

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M84.333 is a billable code used to indicate a diagnosis of stress fracture, right radius.

Key Diagnostic Point:

A stress fracture of the right radius is a small crack in the bone that occurs due to repetitive force or overuse, rather than a single traumatic event. This condition is particularly common in athletes and individuals with increased physical activity levels. Stress fractures can arise from various factors, including inadequate bone density, which is often associated with osteoporosis or other bone metabolism disorders. The right radius, one of the two bones in the forearm, is susceptible to stress fractures due to its role in weight-bearing activities and upper limb movements. Symptoms typically include localized pain, swelling, and tenderness, which may worsen with activity and improve with rest. Diagnosis is often confirmed through imaging studies such as X-rays or MRI, which can reveal the fracture line or associated bone edema. Management usually involves rest, modification of activities, and sometimes physical therapy to strengthen surrounding muscles and improve bone health. In cases where underlying bone density disorders are present, addressing these conditions is crucial to prevent future fractures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between stress fractures and other types of fractures.
  • Understanding the impact of underlying bone density disorders.
  • Documentation of patient activity levels and history of osteoporosis.
  • Need for precise imaging documentation to support diagnosis.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to document underlying bone density disorders.
  • Misclassification of the fracture type.
  • Lack of imaging results in the medical record.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on the mechanism of injury, imaging results, and treatment plan.

Common Clinical Scenarios

Athletes presenting with forearm pain after increased training intensity.

Billing Considerations

Ensure documentation reflects the chronic nature of the injury and any underlying conditions.

Endocrinology

Documentation Requirements

Assessment of bone density and management of osteoporosis.

Common Clinical Scenarios

Patients with a history of osteoporosis presenting with stress fractures.

Billing Considerations

Document any treatments for osteoporosis that may impact fracture healing.

Coding Guidelines

Inclusion Criteria

Use M84.333 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the fracture type and any underlying conditions
  • Include details on the patient's history of osteoporosis or other metabolic bone diseases

Exclusion Criteria

Do NOT use M84.333 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

73630CPT Code

Radiologic examination, forearm

Clinical Scenario

Used when imaging is required to confirm a stress fracture.

Documentation Requirements

Document the reason for imaging and findings.

Specialty Considerations

Orthopedic specialists should ensure imaging correlates with clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of stress fractures, improving the ability to capture data on bone health and related conditions, which is crucial for research and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of stress fractures, improving the ability to capture data on bone health and related conditions, which is crucial for research and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of stress fractures, improving the ability to capture data on bone health and related conditions, which is crucial for research and treatment planning.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a stress fracture and a regular fracture?

A stress fracture is a small crack in the bone caused by repetitive force or overuse, while a regular fracture typically results from a single traumatic event. Stress fractures often occur in bones that bear weight or are subjected to repetitive stress.