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ICD-10 Guide
ICD-10 CodesM84.334

M84.334

Billable

Stress fracture, left radius

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

Code Description

ICD-10 M84.334 is a billable code used to indicate a diagnosis of stress fracture, left radius.

Key Diagnostic Point:

A stress fracture of the left radius is a small crack in the bone that occurs due to repetitive force or overuse, often seen in athletes or individuals with increased physical activity. This type of fracture is particularly common in weight-bearing bones, including the radius, which is one of the two bones in the forearm. Stress fractures can develop when the bone is subjected to more stress than it can handle, often exacerbated by conditions such as osteoporosis or low bone density. In patients with osteoporosis, the bones are more fragile and susceptible to fractures, including stress fractures. Diagnosis typically involves a combination of clinical evaluation, patient history, and imaging studies such as X-rays or MRI, which can reveal the fracture not visible on standard X-rays. Treatment usually involves rest, modification of activities, and sometimes physical therapy to strengthen the surrounding muscles and improve bone health. Monitoring bone density and addressing any underlying metabolic bone disorders 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 patient's history of bone density disorders.
  • Identifying the specific location and severity of the fracture.
  • Documenting the patient's activity level and risk factors.

Audit Risk Factors

  • Inadequate documentation of the cause of the stress fracture.
  • Failure to document the patient's bone density status.
  • Misclassification of the fracture type.
  • Lack of follow-up documentation regarding treatment and recovery.

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 to document any underlying bone density issues and previous fractures.

Endocrinology

Documentation Requirements

Assessment of bone density and metabolic bone disorders.

Common Clinical Scenarios

Patients with osteoporosis presenting with stress fractures.

Billing Considerations

Documenting the patient's history of osteoporosis and any treatments received.

Coding Guidelines

Inclusion Criteria

Use M84.334 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type and location
  • Include any relevant history of osteoporosis or other bone density disorders

Exclusion Criteria

Do NOT use M84.334 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

73030CPT Code

Radiologic examination, forearm

Clinical Scenario

Used when imaging is performed to confirm a stress fracture.

Documentation Requirements

Document the reason for the 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 track and manage these conditions effectively. It emphasizes the importance of documenting laterality and specific fracture types.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of stress fractures, improving the ability to track and manage these conditions effectively. It emphasizes the importance of documenting laterality and specific fracture types.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of stress fractures, improving the ability to track and manage these conditions effectively. It emphasizes the importance of documenting laterality and specific fracture types.

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 is typically the result of a single traumatic event. Stress fractures often develop gradually and may not be immediately visible on X-rays.