2021 ICD-10-CM Diagnosis Code M48.42XA

Fatigue fracture of vertebra, cervical region, initial encounter for fracture

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • M48.42XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Fatigue fracture of vertebra, cervical region, init for fx
  • The 2021 edition of ICD-10-CM M48.42XA became effective on October 1, 2020.
  • This is the American ICD-10-CM version of M48.42XA - other international versions of ICD-10 M48.42XA may differ.
The following code(s) above M48.42XA 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 M48.42XA:
  • M00-M99
    2021 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • arthropathic psoriasis (L40.5-)
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • compartment syndrome (traumatic) (T79.A-)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the musculoskeletal system and connective tissue
  • M48.4
    ICD-10-CM Diagnosis Code M48.4

    Fatigue fracture of vertebra

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Stress fracture of vertebra
    Type 1 Excludes
    • pathological fracture NOS (M84.4-)
    • 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.-)
    • traumatic fracture of vertebrae (S12.0-S12.3-, S22.0-, S32.0-)
    Fatigue fracture of vertebra
Approximate Synonyms
  • Stress fracture of cervical vertebra
  • Vertebra (back bone) fracture
ICD-10-CM M48.42XA is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 542 Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
  • 543 Pathological fractures and musculoskeletal and connective tissue malignancy with cc
  • 544 Pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc

Convert M48.42XA to ICD-9-CM

Code History
  • 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
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
ICD-10-CM Codes Adjacent To M48.42XA
M48.40XA …… initial encounter for fracture
M48.40XD …… subsequent encounter for fracture with routine healing
M48.40XG …… subsequent encounter for fracture with delayed healing
M48.40XS …… sequela of fracture
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
M48.41XS …… sequela of fracture
M48.42 Fatigue fracture of vertebra, cervical region
M48.42XA …… initial encounter for fracture
M48.42XD …… subsequent encounter for fracture with routine healing
M48.42XG …… subsequent encounter for fracture with delayed healing
M48.42XS …… sequela of fracture
M48.43 Fatigue fracture of vertebra, cervicothoracic region
M48.43XA …… initial encounter for fracture
M48.43XD …… subsequent encounter for fracture with routine healing
M48.43XG …… subsequent encounter for fracture with delayed healing
M48.43XS …… sequela of fracture
M48.44 Fatigue fracture of vertebra, thoracic region
M48.44XA …… initial encounter for fracture

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.