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ICD-10-CM Codes
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M00-M99
Diseases of the musculoskeletal system and connective tissue
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M45-M49
Spondylopathies
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M48-
Other spondylopathies
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2018 ICD-10-CM Diagnosis Code M48.4
Fatigue fracture of vertebra
2016 2017 2018 Non-Billable/Non-Specific Code
- M48.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
- The 2018 edition of ICD-10-CM M48.4 became effective on October 1, 2017.
- This is the American ICD-10-CM version of M48.4 - other international versions of ICD-10 M48.4 may differ.
Applicable To- Stress fracture of vertebra
Type 1 ExcludesType 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as M48.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- pathological fracture NOS (
ICD-10-CM Diagnosis Code M84.4
Pathological fracture, not elsewhere classified
2016 2017 2018 Non-Billable/Non-Specific Code
Applicable To- Chronic fracture
- Pathological fracture NOS
Type 2 Excludes- personal history of (healed) pathological fracture (Z87.311)
- pathological fracture of vertebra due to neoplasm (
ICD-10-CM Diagnosis Code M84.58
Pathological fracture in neoplastic disease, other specified site
2016 2017 2018 Non-Billable/Non-Specific Code
Applicable To- Pathological fracture in neoplastic disease, vertebrae
- pathological fracture of vertebra due to other diagnosis (
ICD-10-CM Diagnosis Code M84.68
Pathological fracture in other disease, other site
2016 2017 2018 Non-Billable/Non-Specific Code
- pathological fracture of vertebra due to osteoporosis (
ICD-10-CM Diagnosis Code M80
M80.-) - traumatic fracture of vertebrae (
ICD-10-CM Diagnosis Code S12.0
Fracture of first cervical vertebra
2016 2017 2018 Non-Billable/Non-Specific Code
ICD-10-CM Diagnosis Code S12.3
Fracture of fourth cervical vertebra
2016 2017 2018 Non-Billable/Non-Specific Code
ICD-10-CM Diagnosis Code S22.0
Fracture of thoracic vertebra
2016 2017 2018 Non-Billable/Non-Specific Code
ICD-10-CM Diagnosis Code S32.0
Fracture of lumbar vertebra
2016 2017 2018 Non-Billable/Non-Specific Code
Applicable To- Fracture of lumbar spine NOS
The following code(s) above
M48.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
- Applicable To annotations, or
- Code Also annotations, or
- Code First annotations, or
- Excludes1 annotations, or
- Excludes2 annotations, or
- Includes annotations, or
- Note annotations, or
- Use Additional annotations
that may be applicable to
M48.4:
- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
- 2017 (effective 10/1/2016): No change
- 2018 (effective 10/1/2017): No change
Code annotations containing back-references to M48.4:
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Type 1 Excludes: M48.5, M48.5
ICD-10-CM Diagnosis Code M48.5
Collapsed vertebra, not elsewhere classified
2016 2017 2018 Non-Billable/Non-Specific Code
Applicable To- Collapsed vertebra NOS
- Compression fracture of vertebra NOS
- Wedging of vertebra NOS
Type 1 Excludes- current injury - see Injury of spine, by body region
- fatigue fracture of vertebra (M48.4)
- pathological fracture of vertebra due to neoplasm (M84.58)
- pathological fracture of vertebra due to other diagnosis (M84.68)
- pathological fracture of vertebra due to osteoporosis (M80.-)
- pathological fracture NOS (M84.4-)
- stress fracture of vertebra (M48.4-)
- traumatic fracture of vertebra (S12.-, S22.-, S32.-)
ICD-10-CM Diagnosis Code M48.5
Collapsed vertebra, not elsewhere classified
2016 2017 2018 Non-Billable/Non-Specific Code
Applicable To- Collapsed vertebra NOS
- Compression fracture of vertebra NOS
- Wedging of vertebra NOS
Type 1 Excludes- current injury - see Injury of spine, by body region
- fatigue fracture of vertebra (M48.4)
- pathological fracture of vertebra due to neoplasm (M84.58)
- pathological fracture of vertebra due to other diagnosis (M84.68)
- pathological fracture of vertebra due to osteoporosis (M80.-)
- pathological fracture NOS (M84.4-)
- stress fracture of vertebra (M48.4-)
- traumatic fracture of vertebra (S12.-, S22.-, S32.-)
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Type 2 Excludes: M84.3, M84.38
ICD-10-CM Diagnosis Code M84.3
Stress fracture
2016 2017 2018 Non-Billable/Non-Specific Code
Applicable To- Fatigue fracture
- March fracture
- Stress fracture NOS
- Stress reaction
Type 2 Excludes- personal history of (healed) stress (fatigue) fracture (Z87.312)
- stress fracture of vertebra (M48.4-)
Use Additional- external cause code(s) to identify the cause of the stress fracture
ICD-10-CM Diagnosis Code M84.38
Stress fracture, other site
2016 2017 2018 Non-Billable/Non-Specific Code
Type 2 Excludes- stress fracture of vertebra (M48.4-)
ICD-10-CM Codes Adjacent To M48.4
M48.3 Traumatic spondylopathy
M48.31 …… occipito-atlanto-axial region
M48.33 …… cervicothoracic region
M48.35 …… thoracolumbar region
M48.38 …… sacral and sacrococcygeal region
M48.4
Fatigue fracture of vertebra
M48.40 Fatigue fracture of vertebra, site unspecified
M48.40XA …… initial encounter for fracture
M48.40XD …… subsequent encounter for fracture with routine healing
M48.40XG …… subsequent encounter for fracture with delayed healing
M48.41 Fatigue fracture of vertebra, occipito-atlanto-axial region
M48.41XA …… initial encounter for fracture
M48.41XD …… subsequent encounter for fracture with routine healing
M48.41XG …… subsequent encounter for fracture with delayed healing
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
