ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesM84.343

M84.343

Billable

Stress fracture, unspecified hand

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

Code Description

ICD-10 M84.343 is a billable code used to indicate a diagnosis of stress fracture, unspecified hand.

Key Diagnostic Point:

A stress fracture in the hand is a small crack in a bone that occurs due to repetitive force or overuse, rather than a single traumatic event. This condition is often seen in athletes or individuals who engage in repetitive hand movements. The hand consists of multiple bones, including the metacarpals and phalanges, which can be affected by stress fractures. Symptoms typically include localized pain, swelling, and tenderness in the affected area, which may worsen with activity and improve with rest. Diagnosis is primarily clinical, supported by imaging studies such as X-rays or MRI, which can reveal the fracture. Stress fractures are often associated with underlying bone density disorders, such as osteoporosis, where the bones become weak and brittle, increasing the risk of fractures. Proper management includes rest, immobilization, and addressing any underlying conditions that may contribute to decreased bone density. Education on activity modification and gradual return to sports or activities is crucial to prevent recurrence.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms among patients
  • Need for precise documentation of the location and nature of the fracture
  • Potential overlap with other fracture codes
  • Consideration of underlying conditions like osteoporosis

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document underlying bone density issues
  • Misclassification of fracture type
  • Lack of follow-up documentation on healing

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed clinical notes on the patient's history, physical examination findings, and imaging results.

Common Clinical Scenarios

Athletes presenting with hand pain after increased training intensity.

Billing Considerations

Documentation should specify the exact location of the fracture and any contributing factors such as osteoporosis.

Rheumatology

Documentation Requirements

Assessment of bone density and any underlying metabolic bone diseases.

Common Clinical Scenarios

Patients with osteoporosis presenting with stress fractures.

Billing Considerations

Consideration of systemic conditions affecting bone metabolism.

Coding Guidelines

Inclusion Criteria

Use M84.343 When
  • Follow ICD
  • CM guidelines for coding fractures, ensuring specificity in documentation
  • Include any relevant history of osteoporosis or other bone density disorders

Exclusion Criteria

Do NOT use M84.343 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

73630CPT Code

Radiologic examination, hand

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 data accuracy and enhancing the ability to track and manage bone health issues.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of stress fractures, improving data accuracy and enhancing the ability to track and manage bone health issues.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of stress fractures, improving data accuracy and enhancing the ability to track and manage bone health issues.

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.