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 CodesM84.351

M84.351

Billable

Stress fracture, right femur

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

Code Description

ICD-10 M84.351 is a billable code used to indicate a diagnosis of stress fracture, right femur.

Key Diagnostic Point:

A stress fracture of the right femur 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 condition is particularly prevalent in individuals with low bone density or osteoporosis, where the bones are more susceptible to fractures. Stress fractures typically develop gradually and may present with localized pain that worsens with activity and improves with rest. Diagnosis is often confirmed through imaging studies such as X-rays or MRI, which can reveal the fracture line or associated bone edema. Treatment usually involves rest, modification of activities, and in some cases, physical therapy to strengthen the surrounding muscles and improve bone health. In patients with osteoporosis, addressing the underlying bone density disorder is crucial to prevent future fractures. Regular monitoring of bone health and appropriate interventions, such as bisphosphonates or calcium and vitamin D supplementation, may be necessary to enhance bone metabolism and reduce the risk of further stress fractures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between stress fractures and other types of fractures
  • Understanding the patient's bone density status and its impact on coding
  • Documentation requirements for confirming the diagnosis
  • Potential for co-existing conditions such as osteoporosis

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document the patient's bone density status
  • Misclassification of the type of fracture
  • Lack of follow-up documentation on 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 gradual onset of thigh pain, elderly patients with a history of falls.

Billing Considerations

Ensure documentation reflects the patient's activity level and any underlying bone density issues.

Endocrinology

Documentation Requirements

Assessment of bone density through DEXA scans and management of osteoporosis.

Common Clinical Scenarios

Patients with osteoporosis presenting with stress fractures.

Billing Considerations

Documenting the patient's medication history and compliance with osteoporosis treatment.

Coding Guidelines

Inclusion Criteria

Use M84.351 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated conditions
  • Include details on the patient's bone density status if applicable

Exclusion Criteria

Do NOT use M84.351 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

73630CPT Code

Radiologic examination, femur

Clinical Scenario

Used when imaging is performed to confirm a stress fracture diagnosis.

Documentation Requirements

Document the reason for imaging and findings.

Specialty Considerations

Orthopedic specialists should ensure imaging results are clearly linked to the diagnosis.

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. This specificity helps in tracking outcomes and managing patient care more effectively.

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. This specificity helps in tracking outcomes and managing patient care more effectively.

Reimbursement & Billing Impact

reimbursement processes. This specificity helps in tracking outcomes and managing patient care more effectively.

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 develop gradually and are often associated with underlying bone density issues.