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ICD-10 Guide
ICD-10 CodesM84.344

M84.344

Billable

Stress fracture, right finger(s)

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

Code Description

ICD-10 M84.344 is a billable code used to indicate a diagnosis of stress fracture, right finger(s).

Key Diagnostic Point:

A stress fracture in the right finger(s) is a small crack in the bone that occurs due to repetitive force or overuse, often seen in athletes or individuals engaged in activities that put excessive strain on the fingers. This condition is particularly relevant in the context of bone density disorders such as osteoporosis, where the bones are more fragile and susceptible to fractures. Stress fractures can develop gradually, with symptoms including localized pain, swelling, and tenderness in the affected finger(s). Diagnosis typically involves a thorough clinical evaluation and imaging studies, such as X-rays or MRI, to confirm the presence of a fracture. Treatment often includes rest, immobilization, and possibly physical therapy to restore function and strength. Understanding the underlying bone metabolism and density issues is crucial, as individuals with osteoporosis or other metabolic bone disorders may require tailored management strategies to prevent further fractures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other types of fractures
  • Need for precise documentation of location and type of fracture
  • Potential overlap with other musculoskeletal conditions
  • Variability in treatment protocols based on underlying bone health

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the exact location of the fracture
  • Lack of imaging reports to support the diagnosis
  • Misclassification of the fracture type

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 finger pain after repetitive use, patients with osteoporosis experiencing fractures from minimal trauma.

Billing Considerations

Ensure that the documentation reflects the patient's bone health status and any relevant metabolic disorders.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessment of functional limitations and rehabilitation goals.

Common Clinical Scenarios

Patients recovering from a stress fracture requiring therapy to regain strength and mobility.

Billing Considerations

Document the patient's progress and response to rehabilitation interventions.

Coding Guidelines

Inclusion Criteria

Use M84.344 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation and imaging studies
  • Include any relevant history of osteoporosis or other bone density disorders

Exclusion Criteria

Do NOT use M84.344 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 and any changes in treatment.

Specialty Considerations

Orthopedic specialists may require more detailed documentation of functional status.

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 the nuances of 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 the nuances of 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 the nuances of 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 an acute fracture?

A stress fracture is a small crack in the bone caused by repetitive stress, while an acute fracture is a complete break in the bone typically resulting from a sudden injury or trauma.