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 CodesM84.363

M84.363

Billable

Stress fracture, right fibula

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

Code Description

ICD-10 M84.363 is a billable code used to indicate a diagnosis of stress fracture, right fibula.

Key Diagnostic Point:

A stress fracture of the right fibula is a small crack in the 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 high-impact activities. The fibula, located on the lateral side of the leg, plays a crucial role in weight-bearing and stability. Stress fractures can arise from various factors, including inadequate bone density, particularly in individuals with osteoporosis or other bone metabolism disorders. Osteoporosis, characterized by decreased bone mass and deterioration of bone tissue, significantly increases the risk of fractures, including stress fractures. Diagnosis typically involves a thorough clinical evaluation, imaging studies such as X-rays or MRI, and assessment of the patient's activity level and bone health. Treatment often includes rest, modification of activities, and possibly physical therapy to strengthen surrounding muscles and improve bone density. Understanding the underlying causes of stress fractures is essential for effective management and prevention of future occurrences.

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 patient's bone density status
  • Failure to specify the location of the fracture accurately
  • Lack of evidence for the cause of the stress fracture
  • Misclassification of the fracture type

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed imaging reports, patient history, and treatment plans.

Common Clinical Scenarios

Athletes presenting with leg pain, patients with a history of osteoporosis.

Billing Considerations

Ensure accurate documentation of the fracture's location and any underlying bone density issues.

Endocrinology

Documentation Requirements

Bone density test results, history of metabolic bone disease.

Common Clinical Scenarios

Patients with osteoporosis experiencing fractures.

Billing Considerations

Document the patient's overall bone health and any treatments for osteoporosis.

Coding Guidelines

Inclusion Criteria

Use M84.363 When
  • According to ICD
  • 10 guidelines, M84
  • 363 should be used when a stress fracture is confirmed through imaging and clinical evaluation
  • It is essential to document the cause of the fracture and any relevant history of bone density disorders

Exclusion Criteria

Do NOT use M84.363 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

73630CPT Code

Radiologic examination, leg

Clinical Scenario

Used to confirm the diagnosis of a stress fracture.

Documentation Requirements

Include imaging results and clinical findings.

Specialty Considerations

Orthopedic specialists should ensure imaging is appropriate for the suspected fracture.

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. M84.363 provides a clear distinction from other fracture types, facilitating better patient management and research outcomes.

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. M84.363 provides a clear distinction from other fracture types, facilitating better patient management and research outcomes.

Reimbursement & Billing Impact

reimbursement processes. M84.363 provides a clear distinction from other fracture types, facilitating better patient management and research outcomes.

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.