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ICD-10 Guide
ICD-10 CodesM84.342

M84.342

Billable

Stress fracture, left hand

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

Code Description

ICD-10 M84.342 is a billable code used to indicate a diagnosis of stress fracture, left hand.

Key Diagnostic Point:

A stress fracture in the left 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 associated with underlying bone density disorders such as osteoporosis, which can weaken bones and increase the risk of fractures. In the case of stress fractures, the affected individual may experience localized pain, swelling, and tenderness in the hand, particularly during activities that involve gripping or squeezing. Diagnosis is usually confirmed through clinical evaluation and imaging studies, such as X-rays or MRI, which can reveal the fracture line and assess the integrity of surrounding bone tissue. Treatment typically involves rest, immobilization, and possibly physical therapy to strengthen the hand and prevent future injuries. Understanding the relationship between stress fractures and bone metabolism is crucial, as factors like hormonal changes, nutritional deficiencies, and certain medications can significantly impact bone health and fracture risk.

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.
  • Documenting the specific location and severity of the fracture.
  • Identifying any underlying conditions that may contribute to the fracture.

Audit Risk Factors

  • Inadequate documentation of the fracture's cause.
  • Failure to document underlying bone density issues.
  • 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, physical examination findings, and imaging results.

Common Clinical Scenarios

Patients presenting with hand pain after increased physical activity or sports.

Billing Considerations

Ensure that all relevant imaging studies are documented to support the diagnosis.

Endocrinology

Documentation Requirements

Assessment of bone density and hormonal evaluations.

Common Clinical Scenarios

Patients with osteoporosis or other metabolic bone diseases experiencing fractures.

Billing Considerations

Document any treatments for osteoporosis that may affect fracture healing.

Coding Guidelines

Inclusion Criteria

Use M84.342 When
  • According to ICD
  • 10 guidelines, M84
  • 342 should be used when a stress fracture is confirmed in the left hand
  • It is important to document the specific bone involved and any relevant history of osteoporosis or other bone density disorders

Exclusion Criteria

Do NOT use M84.342 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

73630CPT Code

Radiologic examination, hand; complete, minimum of 3 views

Clinical Scenario

Used when imaging is required 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 accuracy of data collection and reimbursement processes. M84.342 provides a clear distinction between stress fractures and other types of fractures, which is essential for appropriate treatment and management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of stress fractures, improving the accuracy of data collection and reimbursement processes. M84.342 provides a clear distinction between stress fractures and other types of fractures, which is essential for appropriate treatment and management.

Reimbursement & Billing Impact

reimbursement processes. M84.342 provides a clear distinction between stress fractures and other types of fractures, which is essential for appropriate treatment and management.

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 weight-bearing bones and are more common in individuals with weakened bone density.