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ICD-10 Guide
ICD-10 CodesM84.341

M84.341

Billable

Stress fracture, right hand

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

Code Description

ICD-10 M84.341 is a billable code used to indicate a diagnosis of stress fracture, right hand.

Key Diagnostic Point:

A stress fracture in the right hand is a small crack in one of the bones of the hand, typically resulting from repetitive force or overuse rather than a single traumatic event. This condition is often seen in athletes or individuals who engage in high-impact activities. The bones in the hand, including the metacarpals and phalanges, can become weakened due to factors such as low bone density, osteoporosis, or inadequate calcium and vitamin D levels, which are essential for bone health. Stress fractures may present with localized pain, swelling, and tenderness, particularly during activity. Diagnosis is usually confirmed through clinical evaluation and imaging studies, such as X-rays or MRI, which can reveal the fracture line. Treatment typically involves rest, immobilization, and possibly physical therapy to strengthen the surrounding muscles and improve bone density. Understanding the underlying causes of stress fractures, including bone metabolism disorders, is crucial for effective management and prevention of recurrence.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between stress fractures and other types of fractures
  • Understanding the patient's history of bone density disorders
  • Identifying the specific bone involved in the fracture
  • Documenting the mechanism of injury accurately

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document prior history of osteoporosis or other bone 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 patient's history, physical examination findings, imaging results, and treatment plan.

Common Clinical Scenarios

Athletes presenting with hand pain after increased training intensity, patients with osteoporosis experiencing hand pain.

Billing Considerations

Ensure that all relevant imaging studies are documented and that the patient's bone density status is clearly noted.

Endocrinology

Documentation Requirements

Documentation of bone density tests, metabolic evaluations, and treatment for osteoporosis.

Common Clinical Scenarios

Patients with a history of fractures presenting for evaluation of bone health.

Billing Considerations

Document any medications affecting bone metabolism, such as bisphosphonates or corticosteroids.

Coding Guidelines

Inclusion Criteria

Use M84.341 When
  • According to ICD
  • 10 guidelines, M84
  • 341 should be used when a stress fracture is confirmed in the right hand
  • It is important to document the specific bone involved and any underlying conditions that may contribute to the fracture

Exclusion Criteria

Do NOT use M84.341 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits after diagnosis of stress fracture.

Documentation Requirements

Document the patient's progress, treatment adherence, and any new symptoms.

Specialty Considerations

Orthopedic specialists may require more detailed documentation of physical examination 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. This specificity aids in better tracking of treatment outcomes and resource allocation.

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. This specificity aids in better tracking of treatment outcomes and resource allocation.

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. This specificity aids in better tracking of treatment outcomes and resource allocation.

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 develop gradually and may not be visible on initial X-rays.